Mobile Clinics Serve California's Growing Homeless Youth Population
2 Million Uninsured Californians Are Eligible for Obamacare Benefits
Survey: More Previously Uninsured Californians Gained Coverage
Remaining Uninsured Face Challenges in Cost and Simply Signing Up
Survey: 3 Million Californians Newly Insured Under Obamacare
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Memo to Washington: Lessons Learned From California's Obamacare Rollout
New Bill Would Extend Health Coverage to Undocumented Immigrants
Sponsored
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Ernesto, who does not want his last name disclosed, is homeless. Ernesto is earning a high school degree and working part time, but at night, he and his brother share a tent that they set up on San Jose streets. The daily stress of being homeless is wearing Ernesto out and making him light up too many cigarettes.\u003c/p>\n\u003caside class=\"pullquote alignright\">'These kids, because of all these access barriers — lack of insurance, lack of transportation — they’re not going to get this kind of care unless we go to them.'\u003ccite>Dr. Seth Ammerman, medical director, Stanford Teen Health Van \u003c/cite>\u003c/aside>\n\u003cp>“I just want to cut down on my smoking,” says Ernesto, 21, with a tentative, soft voice. “I’ve been on the streets all the time, you know? I just want to make sure I’m OK.”\u003c/p>\n\u003cp>That's why Ernesto walked into this mobile clinic parked just a few steps away from his classroom at the San Jose Conservation Corps & Charter School. He's sitting in a fully equipped exam room inside a shiny blue tour bus with Wi-Fi and the ability to get HIV test results in 20 minutes.\u003c/p>\n\u003cp>During the consultation with Ernesto, Ammerman nods sympathetically. In his 20 years working in this teen health van, Ammerman has treated thousands of uninsured and homeless adolescents ages 24 and under.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/247566086\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Twice a week, Ammerman and two nurses park the clinic at continuation high schools and other places frequented by at-risk adolescents in Santa Clara, San Mateo and San Francisco counties. The van is a community project of the Lucile Packard Children's Hospital Stanford and Children's Health Fund, with support from Samsung.\u003c/p>\n\u003cfigure id=\"attachment_146678\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-146678 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The teen health van parks at continuation high schools and other places frequented by adolescents in Santa Clara, San Mateo and San Francisco counties. Inside, patients are seen in two exam rooms and a nursing station. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The team provides free medical, nutrition and mental health services, including reproductive health care and treatment for chronic illnesses, substance abuse and depression. All medications are free and provided at the time of consultation. A social worker is available for counseling and connects adolescents to additional resources; a registered dietitian works with patients who are malnourished, a frequent health issue for this population.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some of the 400 patients who visit the teen health van each year have never seen a doctor, says Ammerman.\u003c/p>\n\u003cp>“Going to the patients makes all the difference, and it's not just a matter of convenience,” says Ammerman, a clinical professor of adolescent medicine at Stanford University. “It really is that these kids, because of all these access barriers -- lack of insurance, lack of transportation -- they're not going to get this kind of care unless we go to them.”\u003c/p>\n\u003cp>For many patients here, the teen health van can become a trustworthy and reliable place in an otherwise unstable world.\u003c/p>\n\u003cp>Grace Kim first set foot in the van 10 years ago when she was 17. She admits she was skeptical.\u003c/p>\n\u003cp>\"Because it was a van, and I wasn't really sure what they could really provide for me,\" says Kim, 27. \"Off the bat I don't trust people very easily and that probably comes from the territory that I grew up in.\"\u003c/p>\n\u003cp>Kim, a second-generation Korean-American, says she grew up with abusive relatives in a house \"full of conflict.\" By the time she was 14, she had already attempted suicide. With the help of a high school counselor, Kim moved out of her parents' home into a transitional living program, which required her to get medical checkups at the van initially. For the next four years, Kim was a regular patient.\u003c/p>\n\u003cfigure id=\"attachment_147012\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-147012 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut.jpg\" alt=\"Grace Kim, 27, credits the teen health van with helping her overcome depression, malnutrition and other health issues when she 17. Kim was photographed near Santa Clara University, where she is a masters student.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Grace Kim credits the teen health van with helping her overcome depression and other health issues when she was 17. Kim was photographed near Santa Clara University, where she is a master's student in counseling psychology.\u003c/figcaption>\u003c/figure>\n\u003cp>Ammerman and other staff at the van treated Kim's malnutrition, substance abuse and other health issues. They connected her with free visits to see a psychiatrist at Stanford Medical Center who treated her depression, and she thrived.\u003c/p>\n\u003cp>\"If I didn't get that help, I would probably be in a very bad place,\" says Kim, now a master's student in counseling psychology at Santa Clara University. \"The whole mental health aspect of it was probably the most beneficial, probably the most powerful.\"\u003c/p>\n\u003cp>Today, Kim facilitates a support group for suicide survivors at Santa Clara Valley Medical Center and says her passion for her work comes from those dark days in her past. She still keeps in touch with Ammerman, calling him once in a while with health-related questions.\u003c/p>\n\u003cp>\"I trust him absolutely with everything because he's seen me at my worst, and he still to this day has the most faith in me,\" says Kim, adding that Ammerman motivated her to take care of herself and do better. \"To have someone care for you and tell you that you can get better and do anything that you put you heart into. ... I mean, there are no words for that.\"\u003c/p>\n\u003cp>Kim recognizes she was lucky to have access to housing, medical and mental health resources, but that may not be true for others.\u003c/p>\n\u003cp>\u003cstrong>Health Van Patients Often Face Precarious Housing\u003c/strong>\u003c/p>\n\u003cp>Over 40 percent of Stanford's teen health van patients are homeless, says Ammerman. These are adolescents up to age 25 living on the streets, in cars and, most commonly, overcrowded apartments. While doubling up with relatives or friends may sound like housing, it's not stable because people can be asked to leave at any time.\u003c/p>\n\u003cp>Ammerman says he's seen a significant increase in this population of teens and young adults -- those living in overcrowded conditions -- since 2008. Working families unable to make rent are more likely to end up in these challenging conditions.\u003c/p>\n\u003cp>\"We are seeing, unfortunately, more homeless kids. And that's really due to the housing crisis that we are all aware of here in the Bay Area,\" says Ammerman.\u003c/p>\n\u003cp>\u003cstrong>Homeless Youth Population Growing in California\u003c/strong>\u003c/p>\n\u003cp>Most Bay Area counties and the state as a whole are seeing a greater number of homeless kids in recent years, according to figures collected by the California Department of Education and crunched by \u003ca href=\"http://www.kidsdata.org/topic/230/homeless-students/table#fmt=355&loc=2,265,59,4,127,171,341,338,339,217&tf=79,73,67,64&sortType=asc\" target=\"_blank\">Kidsdata.org\u003c/a>. The education department designates students as \"homeless\" if their primary residence at any point in the school year was a:\u003c/p>\n\u003cul>\n\u003cli>Shelter\u003c/li>\n\u003cli>Hotel or motel\u003c/li>\n\u003cli>Shared housing with others due to loss of housing or economic hardship\u003c/li>\n\u003cli>No shelter at all.\u003c/li>\n\u003c/ul>\n\u003cp>Statewide, the rate of homeless public school students in grades K-12 jumped by one-third in just three years -- from 3.6 percent in 2011 to 4.8 percent in 2014. \u003ca href=\"http://www.kidsdata.org/topic/793/homeless-students-residence/table#fmt=1211&loc=2&tf=79,73,67,64&ch=1132,1133,1134,1135&sortColumnId=0&sortType=asc\" target=\"_blank\">More than 86 percent\u003c/a> of the nearly 300,000 homeless public school students statewide are living doubled up with friends or relatives.\u003c/p>\n\u003cp>\"So it's a very unstable housing situation, and that is always problematic for your health,\" says Ammerman.\u003c/p>\n\u003cp>Children and youth facing homelessness or housing insecurity are more likely than their peers to face \u003ca href=\"http://pediatrics.aappublications.org/content/131/6/1206\" target=\"_blank\">chronic illness\u003c/a> and mental health problems, as well as\u003ca href=\"http://www.homelesschildrenamerica.org/\"> traumas\u003c/a> and safety risks, studies show.\u003c/p>\n\u003cp>\u003cstrong>Resources for Homeless Youth are Not Keeping Up\u003c/strong>\u003c/p>\n\u003cp>Shahera Hyatt directs the California Homeless Youth Project at the \u003ca href=\"https://www.library.ca.gov/crb/\" target=\"_blank\">California Research Bureau\u003c/a> in Sacramento. She supports Ammerman's experience as to why the state is seeing a lot more child, youth and family homelessness.\u003c/p>\n\u003cp>\"We know that housing affordability is in crisis proportions,\" says Hyatt. \"In many communities across the state there's rapid gentrification happening and a very low housing stock.\"\u003c/p>\n\u003cp>Homeless youth -- particularly those constantly on the streets or without any access to shelters -- risk sexual abuse, police harassment and substance addiction. Yet the state is woefully lacking in services and resources for this population, says Hyatt.\u003c/p>\n\u003cp>Sacramento has a single six-bed transitional housing center for young adults -- and a nine-month waiting list of about 100 people, says Hyatt. She added that two-thirds of the state's counties lack shelters and other basic services for homeless youth.\u003c/p>\n\u003cp>\"There’s a lot of mythology about why young people become homeless ... that they are unruly or want to live outside. But that's not true,\" says Hyatt. \"A lot of these people are really disenfranchised by the lack of services out there and become homeless.\"\u003c/p>\n\u003cp>Since 1988, California has spent $1.1 million annually on programs that serve homeless youth: the Homeless Youth and Exploitation Program and the California Youth Crisis Line, according to the California Coalition for Youth.\u003c/p>\n\u003cp>A bill introduced last month by Assemblywoman Young Kim, \u003ca href=\"https://ad65.asmrc.org/press-release/14533\" target=\"_blank\">AB1699\u003c/a>, would provide $25 million in funding for homeless youth emergency service projects. The bill's first hearing should be in the next two months, according to Bryan Shroyer in Kim's office.\u003c/p>\n\u003cp>\u003cstrong>Popularity of Mobile Clinics Increases\u003c/strong>\u003c/p>\n\u003cp>Meanwhile, mobile health clinics like Ammerman's in San Jose continue to fill a gap in access to care for uninsured youth. That model of delivering care directly to underserved populations has been gaining popularity nationwide.\u003c/p>\n\u003cp>In the last two decades, the number of mobile clinics has grown to about 2,000 throughout the country, according to the Mobile Health Clinics Association.\u003c/p>\n\u003cp>\"What we are seeing is greater acceptance that mobile care can be really high-quality care,\" says Dr. Delaney Gracy, chief medical officer with the Children's Health Fund. \"More people are realizing that mobile health is an important part of safety net care.\"\u003c/p>\n\u003cfigure id=\"attachment_146679\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-146679 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut.jpg\" alt=\"Ammerman fill a prescription for a patient. The teen health van provides medications for free.\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-1440x1080.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-960x720.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Ammerman fills a prescription for a patient. The teen health van provides medications for free. \u003ccite>(Farida Jhabvala Romero / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the teen health van's exam room, Ammerman is ending his consultation with Ernesto by handing him packages of nicotine gum, the medication Ernesto chose from several options to help him quit smoking. Before Ernesto leaves, Ammerman has one last question for first-time patients like him.\u003c/p>\n\u003cp>\"We literally ask each kid, 'What are you good at, what are your strengths?' And they're shocked at this question because no one's ever asked that before,\" says Ammerman.\u003c/p>\n\u003cp>When Ernesto's turn comes to answer, he thinks for a while before responding.\u003c/p>\n\u003cp>\"Um ... I like to work and stay busy,\" says Ernesto. \"And I motivate my brothers a lot, as much as I can.\"\u003c/p>\n\u003cp>\"Cool! That's a really cool thing,\" responds Ammerman.\u003c/p>\n\u003cp>As his patients successfully take steps to care for their health, says Ammerman, they also gain the confidence to tackle other goals, like getting steady housing.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"These kids have strengths, and by focusing on their strengths it can really make a difference. Because strength builds strength. And success builds success,\" says Ammerman.\u003c/p>\n\n","blocks":[],"excerpt":"Statewide, the rate of homeless public school students in grades K-12 jumped by one-third in just three years.","status":"publish","parent":0,"modified":1455749256,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":48,"wordCount":1899},"headData":{"title":"Mobile Clinics Serve California's Growing Homeless Youth Population | KQED","description":"Statewide, the rate of homeless public school students in grades K-12 jumped by one-third in just three years.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"146345 http://ww2.kqed.org/stateofhealth/?p=146345","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/02/15/as-homeless-youth-population-grows-mobile-clinics-are-key-resource/","disqusTitle":"Mobile Clinics Serve California's Growing Homeless Youth Population","path":"/stateofhealth/146345/as-homeless-youth-population-grows-mobile-clinics-are-key-resource","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Seth Ammerman listens intently to his new patient. Ernesto, who does not want his last name disclosed, is homeless. Ernesto is earning a high school degree and working part time, but at night, he and his brother share a tent that they set up on San Jose streets. The daily stress of being homeless is wearing Ernesto out and making him light up too many cigarettes.\u003c/p>\n\u003caside class=\"pullquote alignright\">'These kids, because of all these access barriers — lack of insurance, lack of transportation — they’re not going to get this kind of care unless we go to them.'\u003ccite>Dr. Seth Ammerman, medical director, Stanford Teen Health Van \u003c/cite>\u003c/aside>\n\u003cp>“I just want to cut down on my smoking,” says Ernesto, 21, with a tentative, soft voice. “I’ve been on the streets all the time, you know? I just want to make sure I’m OK.”\u003c/p>\n\u003cp>That's why Ernesto walked into this mobile clinic parked just a few steps away from his classroom at the San Jose Conservation Corps & Charter School. He's sitting in a fully equipped exam room inside a shiny blue tour bus with Wi-Fi and the ability to get HIV test results in 20 minutes.\u003c/p>\n\u003cp>During the consultation with Ernesto, Ammerman nods sympathetically. In his 20 years working in this teen health van, Ammerman has treated thousands of uninsured and homeless adolescents ages 24 and under.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/247566086&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/247566086'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Twice a week, Ammerman and two nurses park the clinic at continuation high schools and other places frequented by at-risk adolescents in Santa Clara, San Mateo and San Francisco counties. The van is a community project of the Lucile Packard Children's Hospital Stanford and Children's Health Fund, with support from Samsung.\u003c/p>\n\u003cfigure id=\"attachment_146678\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-146678 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The teen health van parks at continuation high schools and other places frequented by adolescents in Santa Clara, San Mateo and San Francisco counties. Inside, patients are seen in two exam rooms and a nursing station. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The team provides free medical, nutrition and mental health services, including reproductive health care and treatment for chronic illnesses, substance abuse and depression. All medications are free and provided at the time of consultation. A social worker is available for counseling and connects adolescents to additional resources; a registered dietitian works with patients who are malnourished, a frequent health issue for this population.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some of the 400 patients who visit the teen health van each year have never seen a doctor, says Ammerman.\u003c/p>\n\u003cp>“Going to the patients makes all the difference, and it's not just a matter of convenience,” says Ammerman, a clinical professor of adolescent medicine at Stanford University. “It really is that these kids, because of all these access barriers -- lack of insurance, lack of transportation -- they're not going to get this kind of care unless we go to them.”\u003c/p>\n\u003cp>For many patients here, the teen health van can become a trustworthy and reliable place in an otherwise unstable world.\u003c/p>\n\u003cp>Grace Kim first set foot in the van 10 years ago when she was 17. She admits she was skeptical.\u003c/p>\n\u003cp>\"Because it was a van, and I wasn't really sure what they could really provide for me,\" says Kim, 27. \"Off the bat I don't trust people very easily and that probably comes from the territory that I grew up in.\"\u003c/p>\n\u003cp>Kim, a second-generation Korean-American, says she grew up with abusive relatives in a house \"full of conflict.\" By the time she was 14, she had already attempted suicide. With the help of a high school counselor, Kim moved out of her parents' home into a transitional living program, which required her to get medical checkups at the van initially. For the next four years, Kim was a regular patient.\u003c/p>\n\u003cfigure id=\"attachment_147012\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-147012 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut.jpg\" alt=\"Grace Kim, 27, credits the teen health van with helping her overcome depression, malnutrition and other health issues when she 17. Kim was photographed near Santa Clara University, where she is a masters student.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Grace Kim credits the teen health van with helping her overcome depression and other health issues when she was 17. Kim was photographed near Santa Clara University, where she is a master's student in counseling psychology.\u003c/figcaption>\u003c/figure>\n\u003cp>Ammerman and other staff at the van treated Kim's malnutrition, substance abuse and other health issues. They connected her with free visits to see a psychiatrist at Stanford Medical Center who treated her depression, and she thrived.\u003c/p>\n\u003cp>\"If I didn't get that help, I would probably be in a very bad place,\" says Kim, now a master's student in counseling psychology at Santa Clara University. \"The whole mental health aspect of it was probably the most beneficial, probably the most powerful.\"\u003c/p>\n\u003cp>Today, Kim facilitates a support group for suicide survivors at Santa Clara Valley Medical Center and says her passion for her work comes from those dark days in her past. She still keeps in touch with Ammerman, calling him once in a while with health-related questions.\u003c/p>\n\u003cp>\"I trust him absolutely with everything because he's seen me at my worst, and he still to this day has the most faith in me,\" says Kim, adding that Ammerman motivated her to take care of herself and do better. \"To have someone care for you and tell you that you can get better and do anything that you put you heart into. ... I mean, there are no words for that.\"\u003c/p>\n\u003cp>Kim recognizes she was lucky to have access to housing, medical and mental health resources, but that may not be true for others.\u003c/p>\n\u003cp>\u003cstrong>Health Van Patients Often Face Precarious Housing\u003c/strong>\u003c/p>\n\u003cp>Over 40 percent of Stanford's teen health van patients are homeless, says Ammerman. These are adolescents up to age 25 living on the streets, in cars and, most commonly, overcrowded apartments. While doubling up with relatives or friends may sound like housing, it's not stable because people can be asked to leave at any time.\u003c/p>\n\u003cp>Ammerman says he's seen a significant increase in this population of teens and young adults -- those living in overcrowded conditions -- since 2008. Working families unable to make rent are more likely to end up in these challenging conditions.\u003c/p>\n\u003cp>\"We are seeing, unfortunately, more homeless kids. And that's really due to the housing crisis that we are all aware of here in the Bay Area,\" says Ammerman.\u003c/p>\n\u003cp>\u003cstrong>Homeless Youth Population Growing in California\u003c/strong>\u003c/p>\n\u003cp>Most Bay Area counties and the state as a whole are seeing a greater number of homeless kids in recent years, according to figures collected by the California Department of Education and crunched by \u003ca href=\"http://www.kidsdata.org/topic/230/homeless-students/table#fmt=355&loc=2,265,59,4,127,171,341,338,339,217&tf=79,73,67,64&sortType=asc\" target=\"_blank\">Kidsdata.org\u003c/a>. The education department designates students as \"homeless\" if their primary residence at any point in the school year was a:\u003c/p>\n\u003cul>\n\u003cli>Shelter\u003c/li>\n\u003cli>Hotel or motel\u003c/li>\n\u003cli>Shared housing with others due to loss of housing or economic hardship\u003c/li>\n\u003cli>No shelter at all.\u003c/li>\n\u003c/ul>\n\u003cp>Statewide, the rate of homeless public school students in grades K-12 jumped by one-third in just three years -- from 3.6 percent in 2011 to 4.8 percent in 2014. \u003ca href=\"http://www.kidsdata.org/topic/793/homeless-students-residence/table#fmt=1211&loc=2&tf=79,73,67,64&ch=1132,1133,1134,1135&sortColumnId=0&sortType=asc\" target=\"_blank\">More than 86 percent\u003c/a> of the nearly 300,000 homeless public school students statewide are living doubled up with friends or relatives.\u003c/p>\n\u003cp>\"So it's a very unstable housing situation, and that is always problematic for your health,\" says Ammerman.\u003c/p>\n\u003cp>Children and youth facing homelessness or housing insecurity are more likely than their peers to face \u003ca href=\"http://pediatrics.aappublications.org/content/131/6/1206\" target=\"_blank\">chronic illness\u003c/a> and mental health problems, as well as\u003ca href=\"http://www.homelesschildrenamerica.org/\"> traumas\u003c/a> and safety risks, studies show.\u003c/p>\n\u003cp>\u003cstrong>Resources for Homeless Youth are Not Keeping Up\u003c/strong>\u003c/p>\n\u003cp>Shahera Hyatt directs the California Homeless Youth Project at the \u003ca href=\"https://www.library.ca.gov/crb/\" target=\"_blank\">California Research Bureau\u003c/a> in Sacramento. She supports Ammerman's experience as to why the state is seeing a lot more child, youth and family homelessness.\u003c/p>\n\u003cp>\"We know that housing affordability is in crisis proportions,\" says Hyatt. \"In many communities across the state there's rapid gentrification happening and a very low housing stock.\"\u003c/p>\n\u003cp>Homeless youth -- particularly those constantly on the streets or without any access to shelters -- risk sexual abuse, police harassment and substance addiction. Yet the state is woefully lacking in services and resources for this population, says Hyatt.\u003c/p>\n\u003cp>Sacramento has a single six-bed transitional housing center for young adults -- and a nine-month waiting list of about 100 people, says Hyatt. She added that two-thirds of the state's counties lack shelters and other basic services for homeless youth.\u003c/p>\n\u003cp>\"There’s a lot of mythology about why young people become homeless ... that they are unruly or want to live outside. But that's not true,\" says Hyatt. \"A lot of these people are really disenfranchised by the lack of services out there and become homeless.\"\u003c/p>\n\u003cp>Since 1988, California has spent $1.1 million annually on programs that serve homeless youth: the Homeless Youth and Exploitation Program and the California Youth Crisis Line, according to the California Coalition for Youth.\u003c/p>\n\u003cp>A bill introduced last month by Assemblywoman Young Kim, \u003ca href=\"https://ad65.asmrc.org/press-release/14533\" target=\"_blank\">AB1699\u003c/a>, would provide $25 million in funding for homeless youth emergency service projects. The bill's first hearing should be in the next two months, according to Bryan Shroyer in Kim's office.\u003c/p>\n\u003cp>\u003cstrong>Popularity of Mobile Clinics Increases\u003c/strong>\u003c/p>\n\u003cp>Meanwhile, mobile health clinics like Ammerman's in San Jose continue to fill a gap in access to care for uninsured youth. That model of delivering care directly to underserved populations has been gaining popularity nationwide.\u003c/p>\n\u003cp>In the last two decades, the number of mobile clinics has grown to about 2,000 throughout the country, according to the Mobile Health Clinics Association.\u003c/p>\n\u003cp>\"What we are seeing is greater acceptance that mobile care can be really high-quality care,\" says Dr. Delaney Gracy, chief medical officer with the Children's Health Fund. \"More people are realizing that mobile health is an important part of safety net care.\"\u003c/p>\n\u003cfigure id=\"attachment_146679\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-146679 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut.jpg\" alt=\"Ammerman fill a prescription for a patient. The teen health van provides medications for free.\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-1440x1080.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-960x720.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Ammerman fills a prescription for a patient. The teen health van provides medications for free. \u003ccite>(Farida Jhabvala Romero / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the teen health van's exam room, Ammerman is ending his consultation with Ernesto by handing him packages of nicotine gum, the medication Ernesto chose from several options to help him quit smoking. Before Ernesto leaves, Ammerman has one last question for first-time patients like him.\u003c/p>\n\u003cp>\"We literally ask each kid, 'What are you good at, what are your strengths?' And they're shocked at this question because no one's ever asked that before,\" says Ammerman.\u003c/p>\n\u003cp>When Ernesto's turn comes to answer, he thinks for a while before responding.\u003c/p>\n\u003cp>\"Um ... I like to work and stay busy,\" says Ernesto. \"And I motivate my brothers a lot, as much as I can.\"\u003c/p>\n\u003cp>\"Cool! That's a really cool thing,\" responds Ammerman.\u003c/p>\n\u003cp>As his patients successfully take steps to care for their health, says Ammerman, they also gain the confidence to tackle other goals, like getting steady housing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"These kids have strengths, and by focusing on their strengths it can really make a difference. Because strength builds strength. And success builds success,\" says Ammerman.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/146345/as-homeless-youth-population-grows-mobile-clinics-are-key-resource","authors":["8659"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_96","stateofhealth_333","stateofhealth_2519","stateofhealth_79"],"featImg":"stateofhealth_146677","label":"stateofhealth_2363"},"stateofhealth_91524":{"type":"posts","id":"stateofhealth_91524","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"91524","score":null,"sort":[1444720426000]},"guestAuthors":[],"slug":"2-million-uninsured-californians-are-eligible-for-obamacare-benefits","title":"2 Million Uninsured Californians Are Eligible for Obamacare Benefits","publishDate":1444720426,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>In advance of the Nov. 1 start of open enrollment for Covered California, new numbers show that just over half of the state's remaining uninsured are eligible for health insurance coverage under the Affordable Care Act.\u003c/p>\n\u003cp>The estimate was part of a \u003ca href=\"http://kff.org/uninsured/issue-brief/new-estimates-of-eligibility-for-aca-coverage-among-the-uninsured/\" target=\"_blank\">state-by-state analysis\u003c/a> compiled by the Kaiser Family Foundation.\u003c/p>\n\u003cp>Researchers found that California has 3.845 million people still uninsured. Of those:\u003c/p>\n\u003cul>\n\u003cli>37 percent are eligible for Medi-Cal, the state's version of Medicaid (1.428 million people)\u003c/li>\n\u003cli>16 percent are eligible for subsidies to purchase insurance on Covered California, the state's health insurance marketplace (623,000 people)\u003c/li>\n\u003c/ul>\n\u003cp>Nationally, 58 percent of the remaining uninsured qualify for coverage under the ACA.\u003c/p>\n\u003cp>The nation's 50 states as a whole break into two groups -- those that opted to participate in the expansion of the Medicaid program and those that didn't. Under the Medicaid expansion, people under 65 with an income at or below 138 percent of the federal poverty level ($16,242 for an individual or $33,365 for a family of four in 2015) are eligible for coverage.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California, the most populous state in the country, has the highest number of remaining uninsured of the states that expanded Medicaid. Of the states that have not expanded the program, Texas has the most people still uninsured -- 4.425 million.\u003c/p>\n\u003cp>Of those Californians still uninsured but not eligible for benefits under the ACA, about half (922,000 people) are undocumented immigrants and by law cannot qualify for benefits. The rest either have an income too high for a subsidy or they have an offer of health insurance from their employer.\u003c/p>\n\u003cp>These estimates are compiled from the 2015 Current Population Survey of the U.S. Census Bureau. They are similar to another estimate from researchers at UCLA and UC Berkeley, known as \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/uninsuredbrief-jan2015.pdf\" target=\"_blank\">CalSIM\u003c/a> (California Simulation of Insurance Markets).\u003c/p>\n\u003cp>Prof. Gerald Kominski, an author of that estimate, said the CalSIM modeling showed about 500,000 fewer people eligible for Medi-Cal and 500,000 more people in the undocumented group, but overall the two estimates \"are in the same ballpark.\"\u003c/p>\n\u003cp>The challenge will be reaching those still without insurance, Kominski said. The remaining uninsured who are eligible for Obamacare benefits are people who have sat out during the two open enrollments since the Affordable Care Act went into effect in 2014.\u003c/p>\n\u003cp>Kominski said that for families with mixed immigration status, where some members are lawfully present and others are not, there's \"ongoing concern ... that trusting the process will not result in information being shared\" with immigration authorities. Some other people, he said, may have a distrust of government.\u003c/p>\n\u003cp>James Scullary, a spokesperson for Covered California, said that \"there's no question\" the remaining uninsured will be a more challenging population to reach, but he also pointed to Covered California's success so far in signing up those eligible.\u003c/p>\n\u003cp>As noted above, 16 percent of the remaining uninsured are eligible for Covered California subsidies. Only five states have a better enrollment rate than California (Arizona, Illinois, Maryland, New Jersey, New Mexico).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Scullary said Covered California is \"right in the middle of taking a look at the various models. ... We have not settled yet on an official number of our own.\"\u003c/p>\n\n","blocks":[],"excerpt":"They are eligible for Medi-Cal or subsidized insurance through Covered California.","status":"publish","parent":0,"modified":1446578254,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":548},"headData":{"title":"2 Million Uninsured Californians Are Eligible for Obamacare Benefits | KQED","description":"They are eligible for Medi-Cal or subsidized insurance through Covered California.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"91524 http://ww2.kqed.org/stateofhealth/?p=91524","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/10/13/2-million-uninsured-californians-are-eligible-for-obamacare-benefits/","disqusTitle":"2 Million Uninsured Californians Are Eligible for Obamacare Benefits","path":"/stateofhealth/91524/2-million-uninsured-californians-are-eligible-for-obamacare-benefits","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In advance of the Nov. 1 start of open enrollment for Covered California, new numbers show that just over half of the state's remaining uninsured are eligible for health insurance coverage under the Affordable Care Act.\u003c/p>\n\u003cp>The estimate was part of a \u003ca href=\"http://kff.org/uninsured/issue-brief/new-estimates-of-eligibility-for-aca-coverage-among-the-uninsured/\" target=\"_blank\">state-by-state analysis\u003c/a> compiled by the Kaiser Family Foundation.\u003c/p>\n\u003cp>Researchers found that California has 3.845 million people still uninsured. Of those:\u003c/p>\n\u003cul>\n\u003cli>37 percent are eligible for Medi-Cal, the state's version of Medicaid (1.428 million people)\u003c/li>\n\u003cli>16 percent are eligible for subsidies to purchase insurance on Covered California, the state's health insurance marketplace (623,000 people)\u003c/li>\n\u003c/ul>\n\u003cp>Nationally, 58 percent of the remaining uninsured qualify for coverage under the ACA.\u003c/p>\n\u003cp>The nation's 50 states as a whole break into two groups -- those that opted to participate in the expansion of the Medicaid program and those that didn't. Under the Medicaid expansion, people under 65 with an income at or below 138 percent of the federal poverty level ($16,242 for an individual or $33,365 for a family of four in 2015) are eligible for coverage.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California, the most populous state in the country, has the highest number of remaining uninsured of the states that expanded Medicaid. Of the states that have not expanded the program, Texas has the most people still uninsured -- 4.425 million.\u003c/p>\n\u003cp>Of those Californians still uninsured but not eligible for benefits under the ACA, about half (922,000 people) are undocumented immigrants and by law cannot qualify for benefits. The rest either have an income too high for a subsidy or they have an offer of health insurance from their employer.\u003c/p>\n\u003cp>These estimates are compiled from the 2015 Current Population Survey of the U.S. Census Bureau. They are similar to another estimate from researchers at UCLA and UC Berkeley, known as \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/uninsuredbrief-jan2015.pdf\" target=\"_blank\">CalSIM\u003c/a> (California Simulation of Insurance Markets).\u003c/p>\n\u003cp>Prof. Gerald Kominski, an author of that estimate, said the CalSIM modeling showed about 500,000 fewer people eligible for Medi-Cal and 500,000 more people in the undocumented group, but overall the two estimates \"are in the same ballpark.\"\u003c/p>\n\u003cp>The challenge will be reaching those still without insurance, Kominski said. The remaining uninsured who are eligible for Obamacare benefits are people who have sat out during the two open enrollments since the Affordable Care Act went into effect in 2014.\u003c/p>\n\u003cp>Kominski said that for families with mixed immigration status, where some members are lawfully present and others are not, there's \"ongoing concern ... that trusting the process will not result in information being shared\" with immigration authorities. Some other people, he said, may have a distrust of government.\u003c/p>\n\u003cp>James Scullary, a spokesperson for Covered California, said that \"there's no question\" the remaining uninsured will be a more challenging population to reach, but he also pointed to Covered California's success so far in signing up those eligible.\u003c/p>\n\u003cp>As noted above, 16 percent of the remaining uninsured are eligible for Covered California subsidies. Only five states have a better enrollment rate than California (Arizona, Illinois, Maryland, New Jersey, New Mexico).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Scullary said Covered California is \"right in the middle of taking a look at the various models. ... We have not settled yet on an official number of our own.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/91524/2-million-uninsured-californians-are-eligible-for-obamacare-benefits","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_368","stateofhealth_99","stateofhealth_2519","stateofhealth_79"],"featImg":"stateofhealth_91637","label":"stateofhealth"},"stateofhealth_54018":{"type":"posts","id":"stateofhealth_54018","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"54018","score":null,"sort":[1438301284000]},"guestAuthors":[],"slug":"survey-more-previously-uninsured-californians-gained-coverage","title":"Survey: More Previously Uninsured Californians Gained Coverage","publishDate":1438301284,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Just over two-thirds of Californians who did not have health insurance before the Affordable Care Act went into full effect in 2014 are now covered, according to a survey from the Kaiser Family Foundation.\u003c/p>\n\u003cp>The newly insured are much less likely to say that paying for health care is a problem, compared to when they were uninsured.\u003c/p>\n\u003cp>\"This is really great news for California,\" said Sarah de Guia, executive director of the California Pan-Ethnic Health Network, an advocacy group. She spoke of people being lifted from the fear of paying for care. \"There's this sense of relief, that they're not one accident or incident away from bankruptcy. ... They can keep their costs contained.\"\u003c/p>\n\u003cp>The rate of newly insured -- 68 percent -- is an increase over the first Obamacare open enrollment last year. Then, 58 percent of the previously uninsured had gained covered.\u003c/p>\n\u003cp>At the same time, nearly a third of those surveyed this year -- 32 percent -- are still uninsured. Many of them fall into two categories. One group, about four in 10, are undocumented immigrants and ineligible for coverage.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Another chunk of those people who are remaining uninsured have been uninsured for a long period of time and therefore may be harder to reach, a harder group to bring into the fold,\" said Bianca DiJulio, associate director with the foundation's Public Opinion and Survey Research Program.\u003c/p>\n\u003cp>The largest share of the newly insured -- 34 percent -- are covered in the Medi-Cal, the state's version of Medicaid. Fourteen percent say they are insured through their employer and 12 percent purchased insurance through Covered California, the marketplace established under the ACA.\u003c/p>\n\u003cp>The newly insured largely say their health care needs are being met with 86 percent saying their needs are being \"very well\" or \"somewhat\" well met, up from 51 percent in 2013.\u003c/p>\n\u003cp>Before the health law, nearly 6 million adults in Californians were uninsured, the most of any state, and Latinos made up more than half of them. While initial campaigns to reach Latinos were \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">widely criticized\u003c/a>, newer efforts seem to be more successful. The survey found that whites and Latinos signed up in nearly equal proportions, 79 percent for whites and 74 percent for Latinos (after excluding those Latinos who would be ineligible for ACA benefits due to their immigration status).\u003c/p>\n\u003cp>Yet last year's\u003ca href=\"https://kaiserfamilyfoundation.files.wordpress.com/2014/07/ca-uninsured-charts-final_for-chartpack1.pdf\" target=\"_blank\"> survey of the previously uninsured \u003c/a>after the first open enrollment concluded showed that whites and Latinos signed up at the same rate, 61 percent.\u003c/p>\n\u003cp>Advocate de Guia said the small gap found this year -- five percentage points -- was worrisome, because grants to community groups to help people sign up have declined by millions of dollars. \"Enrollment dollars are going down or being cut,\" she said. \"We don't want to see that gap widen over time.\"\u003c/p>\n\u003cp>Gerald Kominski, director of the UCLA Center for Health Policy Research said the survey findings were \"obviously very good news,\" but cautioned that the findings have a limitation. The group of people that is being followed all had previously lacked insurance.\u003c/p>\n\u003cp>\"There's another cohort of Californians who are not in this survey -- people who had insurance and lost it,\" he said in an interview. \"Some portion of those individuals remain uninsured.\"\u003c/p>\n\u003cp>Overall, those saying it's hard to afford health care dropped from 86 percent in 2013 to 49 percent today.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png\">\u003cimg class=\"aligncenter size-full wp-image-54488\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png\" alt=\"Screen Shot 2015-07-30 at 4.37.51 PM\" width=\"639\" height=\"466\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png 639w, https://ww2.kqed.org/app/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM-400x292.png 400w\" sizes=\"(max-width: 639px) 100vw, 639px\">\u003c/a>\u003c/p>\n\u003cp>In the survey, 85 percent of the uninsured say paying for health care is their top financial concern -- ahead of paying their mortgage or rent. Of those who have gained coverage, paying for health care now ranks fourth among financial concerns -- behind rent/mortgage, utilities and even gasoline.\u003c/p>\n\u003cp>\"It's below the price of gas,\" said UCLA's Kominski. \"I found that truly remarkable ... the fact that health care for people newly insured (is) no longer a primary concern, I think is significant.\"\u003c/p>\n\u003cp>While 76 percent of the newly insured say their experience with their plan has been positive, some are reporting issues in accessing care, including 28 percent who say they had to wait longer than they thought they should have to for an appointment or finding that a doctor said they would not accept their insurance (17 percent of Medi-Cal recipients; 23 percent of people with a Covered California plan).\u003c/p>\n\u003cp>This survey is the third in a series of people who were uninsured in 2013, before the Affordable Care Act went into full effect. From February 18 to May 13, 2015, 1,105 adults who had participated in the first survey were contacted. The margin of sampling error is plus or minus 4 percentage points for results based on the full sample, 5 percentage points for recently insured Californians, and 8 percentage points for those Californians who remain uninsured.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"The rate of people saying they had problems paying medical bills in the last year was cut in half.","status":"publish","parent":0,"modified":1438301629,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":801},"headData":{"title":"Survey: More Previously Uninsured Californians Gained Coverage | KQED","description":"The rate of people saying they had problems paying medical bills in the last year was cut in half.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"54018 http://ww2.kqed.org/stateofhealth/?p=54018","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/07/30/survey-more-previously-uninsured-californians-gained-coverage/","disqusTitle":"Survey: More Previously Uninsured Californians Gained Coverage","path":"/stateofhealth/54018/survey-more-previously-uninsured-californians-gained-coverage","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Just over two-thirds of Californians who did not have health insurance before the Affordable Care Act went into full effect in 2014 are now covered, according to a survey from the Kaiser Family Foundation.\u003c/p>\n\u003cp>The newly insured are much less likely to say that paying for health care is a problem, compared to when they were uninsured.\u003c/p>\n\u003cp>\"This is really great news for California,\" said Sarah de Guia, executive director of the California Pan-Ethnic Health Network, an advocacy group. She spoke of people being lifted from the fear of paying for care. \"There's this sense of relief, that they're not one accident or incident away from bankruptcy. ... They can keep their costs contained.\"\u003c/p>\n\u003cp>The rate of newly insured -- 68 percent -- is an increase over the first Obamacare open enrollment last year. Then, 58 percent of the previously uninsured had gained covered.\u003c/p>\n\u003cp>At the same time, nearly a third of those surveyed this year -- 32 percent -- are still uninsured. Many of them fall into two categories. One group, about four in 10, are undocumented immigrants and ineligible for coverage.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Another chunk of those people who are remaining uninsured have been uninsured for a long period of time and therefore may be harder to reach, a harder group to bring into the fold,\" said Bianca DiJulio, associate director with the foundation's Public Opinion and Survey Research Program.\u003c/p>\n\u003cp>The largest share of the newly insured -- 34 percent -- are covered in the Medi-Cal, the state's version of Medicaid. Fourteen percent say they are insured through their employer and 12 percent purchased insurance through Covered California, the marketplace established under the ACA.\u003c/p>\n\u003cp>The newly insured largely say their health care needs are being met with 86 percent saying their needs are being \"very well\" or \"somewhat\" well met, up from 51 percent in 2013.\u003c/p>\n\u003cp>Before the health law, nearly 6 million adults in Californians were uninsured, the most of any state, and Latinos made up more than half of them. While initial campaigns to reach Latinos were \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">widely criticized\u003c/a>, newer efforts seem to be more successful. The survey found that whites and Latinos signed up in nearly equal proportions, 79 percent for whites and 74 percent for Latinos (after excluding those Latinos who would be ineligible for ACA benefits due to their immigration status).\u003c/p>\n\u003cp>Yet last year's\u003ca href=\"https://kaiserfamilyfoundation.files.wordpress.com/2014/07/ca-uninsured-charts-final_for-chartpack1.pdf\" target=\"_blank\"> survey of the previously uninsured \u003c/a>after the first open enrollment concluded showed that whites and Latinos signed up at the same rate, 61 percent.\u003c/p>\n\u003cp>Advocate de Guia said the small gap found this year -- five percentage points -- was worrisome, because grants to community groups to help people sign up have declined by millions of dollars. \"Enrollment dollars are going down or being cut,\" she said. \"We don't want to see that gap widen over time.\"\u003c/p>\n\u003cp>Gerald Kominski, director of the UCLA Center for Health Policy Research said the survey findings were \"obviously very good news,\" but cautioned that the findings have a limitation. The group of people that is being followed all had previously lacked insurance.\u003c/p>\n\u003cp>\"There's another cohort of Californians who are not in this survey -- people who had insurance and lost it,\" he said in an interview. \"Some portion of those individuals remain uninsured.\"\u003c/p>\n\u003cp>Overall, those saying it's hard to afford health care dropped from 86 percent in 2013 to 49 percent today.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png\">\u003cimg class=\"aligncenter size-full wp-image-54488\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png\" alt=\"Screen Shot 2015-07-30 at 4.37.51 PM\" width=\"639\" height=\"466\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png 639w, https://ww2.kqed.org/app/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM-400x292.png 400w\" sizes=\"(max-width: 639px) 100vw, 639px\">\u003c/a>\u003c/p>\n\u003cp>In the survey, 85 percent of the uninsured say paying for health care is their top financial concern -- ahead of paying their mortgage or rent. Of those who have gained coverage, paying for health care now ranks fourth among financial concerns -- behind rent/mortgage, utilities and even gasoline.\u003c/p>\n\u003cp>\"It's below the price of gas,\" said UCLA's Kominski. \"I found that truly remarkable ... the fact that health care for people newly insured (is) no longer a primary concern, I think is significant.\"\u003c/p>\n\u003cp>While 76 percent of the newly insured say their experience with their plan has been positive, some are reporting issues in accessing care, including 28 percent who say they had to wait longer than they thought they should have to for an appointment or finding that a doctor said they would not accept their insurance (17 percent of Medi-Cal recipients; 23 percent of people with a Covered California plan).\u003c/p>\n\u003cp>This survey is the third in a series of people who were uninsured in 2013, before the Affordable Care Act went into full effect. From February 18 to May 13, 2015, 1,105 adults who had participated in the first survey were contacted. The margin of sampling error is plus or minus 4 percentage points for results based on the full sample, 5 percentage points for recently insured Californians, and 8 percentage points for those Californians who remain uninsured.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/54018/survey-more-previously-uninsured-californians-gained-coverage","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_368","stateofhealth_99","stateofhealth_79"],"featImg":"stateofhealth_54490","label":"stateofhealth"},"stateofhealth_21509":{"type":"posts","id":"stateofhealth_21509","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"21509","score":null,"sort":[1410533322000]},"guestAuthors":[],"slug":"remaining-uninsured-face-challenges-in-cost-and-simply-signing-up","title":"Remaining Uninsured Face Challenges in Cost and Simply Signing Up","publishDate":1410533322,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_21524\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/LeaburnAlexander-e1410531393794.jpg\">\u003cimg class=\"size-large wp-image-21524\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/LeaburnAlexander-640x427.jpg\" alt=\"Leaburn Alexander works two jobs and does not have health insurance. Here, he is on the start of his 3-hour commute home from the job he works as an overnight hotel janitor. (Lisa Morehouse/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Leaburn Alexander works two jobs and does not have health insurance. Here, he is on the start of his 3-hour commute home from the job he works as an overnight hotel janitor. (Lisa Morehouse/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lisa Morehouse\u003c/strong>\u003c/p>\n\u003cp>When the Affordable Care Act rolled out last fall, Californians enrolled in both Covered California and expanded Medi-Cal\u003ca title=\"Obamacare: More than 3.3 Million Californians Signed Up\" href=\"http://ww2.kqed.org/stateofhealth/2014/04/17/final-obamacare-open-enrollment-more-than-3-3-million-californians-signed-up/\" target=\"_blank\"> in high numbers\u003c/a>. But there are still millions in the state without health insurance. Undocumented people don’t qualify for Obamacare benefits. Many others still find coverage too expensive, or face other obstacles in enrolling.\u003c/p>\n\u003cp>One of those people is Leaburn Alexander. I meet up with him at 6 a.m. as he is finishing his shift as the night janitor at a hotel near the San Francisco Airport. He clocks out just in time to catch the hotel's shuttle back to SFO, where he will catch a bus.\u003c/p>\n\u003cp>\"Right now I’m on the beginning of my commute,\" he tells me. \"After an eight hour shift, my commute is like 2 and a half hours.\"\u003c/p>\n\u003cp>I accompany Alexander on his commute to East Palo Alto, about 20 miles south. It actually takes three hours, on the hotel shuttle plus three more buses. He does this commute 5 days a week.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Alexander doesn't have a car. The train would be faster, but cost three times as much. Alexander has no wiggle room in his budget.\u003c/p>\n\u003cp>He says he makes just under $11 an hour, and after taxes, child support and other expenses, he brings home just enough to cover rent. And all the other bills? He has a second job to cover those. His wife has been looking for work for over a year, and his oldest daughter is in college. Alexander doesn’t have health insurance.\u003c/p>\n\u003cp>\"When I first got this job,\" he says, of his night janitor position, \"they informed me about different employee packages, different benefits and all that.\u003c/p>\n\u003cp>But Alexander says he can’t afford the employee portion of the health insurance premium. Many people who are working lower wage jobs may qualify for Medi-Cal, California's version of Medicaid, if their incomes are low enough. But because Alexander had been turned down for Medi-Cal in the past, he presumed he still wouldn’t qualify, even under Obamacare.\u003c/p>\n\u003cp>Earlier this year, he went to get a physical at a community clinic, and they tried to sign him up for a county program. But even the $20 a month payment was too steep for his budget.\u003c/p>\n\u003cp>While he'd like to be insured, Alexander, 53, says he feels pretty healthy.\u003c/p>\n\u003cp>\"I mean, there’s times where I’d be tired from fatigue and my age, a little arthritis, but I still feel pretty good,\" he says. \"But what might be going on inside of me is a different story.\"\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/167433325&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>Alexander’s blood pressure is high. He got free pills free from a clinic and plans to return when he runs out.\u003c/p>\n\u003cp>The only time in his adult life when he had health care was when he was incarcerated. He had substance abuse issues and was involved in a bank robbery. He says he had tried recovery programs, but didn't succeed, until he became a born-again Christian.\u003c/p>\n\u003cp>\"That was divine intervention. It really happened,\" he says. \"I been clean and sober since July, 2011.\"\u003c/p>\n\u003cp>And so he’s grateful for what he’s got. He just doesn’t know how he’d get insurance right now.\u003c/p>\n\u003cp>\u003cstrong>The Remaining Uninsured\u003c/strong>\u003c/p>\n\u003cp>Uninsured Californians fall into a few categories, says Laurel Lucia with the U.C. Berkeley Labor Center. One is called the \"family glitch.\"\u003c/p>\n\u003cp>\"Basically spouses and children who can get coverage through a family member’s employer but it’s too expensive,\" she says.\u003c/p>\n\u003cp>Sometimes the employee part of the premium is affordable, but the family coverage is much higher. But because the employer made an offer of insurance to family members, \"(w)hen they go to Covered California they’re told they’re ineligible for subsidies,\" Lucia says. It's part of federal policy.\u003c/p>\n\u003cp>A second uninsured group is Californians who are eligible for subsidies through Covered California -- but still find the premiums unaffordable.\u003c/p>\n\u003cp>Finally, Lucia says there may be nearly one million Californians who are eligible for Medi-Cal but don’t know it, or have had difficulties enrolling.\u003c/p>\n\u003cp>It's unclear exactly which category Alexander may fit into.\u003c/p>\n\u003cp>\u003cstrong>The Enrollment Counselor's Perspective\u003c/strong>\u003c/p>\n\u003cp>Over in East Palo Alto, Irais Bazan is an enrollment and eligibility manager at the Ravenswood Family Health Clinic. Bazan has met people in all of those uninsured categories -- and more.\u003c/p>\n\u003cp>\"Situations can change at any minute,\" she said. \"So we’re adamant with clients, any changes, as little as you may think\" must be reported right away. Things like adding a dependent -- or subtracting one, if you are no longer declaring a child as a dependent on your taxes. Or even small changes in income may make a difference.\u003c/p>\n\u003cp>\"You have to come back, let us know,\" she says. \"Sometimes these rules for these programs change.\"\u003c/p>\n\u003cp>And someone who thought they weren’t eligible for Medi-Cal or Covered California subsidies before may be eligible now. That may describe Leaburn Alexander. But while coming back to the clinic sounds like a minor hassle, for him, it's a big barrier.\u003c/p>\n\u003cp>\"Scheduling time to do that, an appointment. It’s kind of rough, kind of hard right now,\" Alexander says.\u003c/p>\n\u003cp>Just as Alexander has no wiggle room in his budget, he has precious little wiggle room in his schedule. After he wraps his overnight janitor job, he heads to a second job, washing dishes at a Stanford dining hall. He says he gets his sleep in 20 and 30 minute naps on his hours-long daily commute.\u003c/p>\n\u003cp>He has one full morning off each week, the only time he could meet with an enrollment counselor to update his family status, present income verification for himself and his wife, and see if he qualifies for health coverage. But that time is taken up with other needs of daily life.\u003c/p>\n\u003cp>\"Come Wednesday,\" he says, about his morning off, \"that’s when my pastor comes and gets us and takes us grocery shopping.\"\u003c/p>\n\u003cp>Alexander remains optimistic that his situation will improve.\u003c/p>\n\u003cp>\"I’m hopeful that through prayer that God will bless me with a better paying job,\" he told me. \"I got a feeling, that’s coming. Because He knows my situation.\"\u003c/p>\n\u003cp>Alexander hopes that job will be closer to home, and that he’ll have the time and money to get health coverage.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Lisa Morehouse produced this story while participating in \u003ca title=\"Health Journalism Fellowships\" href=\"http://www.reportingonhealth.org/fellowships/seminars\" target=\"_blank\">The California Endowment Health Journalism Fellowships\u003c/a>, a program of USC's Annenberg School of Journalism.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Meet an East Palo Alto man who works two jobs. $20 a month for health insurance was too expensive for him.","status":"publish","parent":0,"modified":1411515103,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":39,"wordCount":1157},"headData":{"title":"Remaining Uninsured Face Challenges in Cost and Simply Signing Up | KQED","description":"Meet an East Palo Alto man who works two jobs. $20 a month for health insurance was too expensive for him.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"21509 http://blogs.kqed.org/stateofhealth/?p=21509","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/09/12/remaining-uninsured-face-challenges-in-cost-and-simply-signing-up/","disqusTitle":"Remaining Uninsured Face Challenges in Cost and Simply Signing Up","path":"/stateofhealth/21509/remaining-uninsured-face-challenges-in-cost-and-simply-signing-up","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21524\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/LeaburnAlexander-e1410531393794.jpg\">\u003cimg class=\"size-large wp-image-21524\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/LeaburnAlexander-640x427.jpg\" alt=\"Leaburn Alexander works two jobs and does not have health insurance. Here, he is on the start of his 3-hour commute home from the job he works as an overnight hotel janitor. (Lisa Morehouse/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Leaburn Alexander works two jobs and does not have health insurance. Here, he is on the start of his 3-hour commute home from the job he works as an overnight hotel janitor. (Lisa Morehouse/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lisa Morehouse\u003c/strong>\u003c/p>\n\u003cp>When the Affordable Care Act rolled out last fall, Californians enrolled in both Covered California and expanded Medi-Cal\u003ca title=\"Obamacare: More than 3.3 Million Californians Signed Up\" href=\"http://ww2.kqed.org/stateofhealth/2014/04/17/final-obamacare-open-enrollment-more-than-3-3-million-californians-signed-up/\" target=\"_blank\"> in high numbers\u003c/a>. But there are still millions in the state without health insurance. Undocumented people don’t qualify for Obamacare benefits. Many others still find coverage too expensive, or face other obstacles in enrolling.\u003c/p>\n\u003cp>One of those people is Leaburn Alexander. I meet up with him at 6 a.m. as he is finishing his shift as the night janitor at a hotel near the San Francisco Airport. He clocks out just in time to catch the hotel's shuttle back to SFO, where he will catch a bus.\u003c/p>\n\u003cp>\"Right now I’m on the beginning of my commute,\" he tells me. \"After an eight hour shift, my commute is like 2 and a half hours.\"\u003c/p>\n\u003cp>I accompany Alexander on his commute to East Palo Alto, about 20 miles south. It actually takes three hours, on the hotel shuttle plus three more buses. He does this commute 5 days a week.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Alexander doesn't have a car. The train would be faster, but cost three times as much. Alexander has no wiggle room in his budget.\u003c/p>\n\u003cp>He says he makes just under $11 an hour, and after taxes, child support and other expenses, he brings home just enough to cover rent. And all the other bills? He has a second job to cover those. His wife has been looking for work for over a year, and his oldest daughter is in college. Alexander doesn’t have health insurance.\u003c/p>\n\u003cp>\"When I first got this job,\" he says, of his night janitor position, \"they informed me about different employee packages, different benefits and all that.\u003c/p>\n\u003cp>But Alexander says he can’t afford the employee portion of the health insurance premium. Many people who are working lower wage jobs may qualify for Medi-Cal, California's version of Medicaid, if their incomes are low enough. But because Alexander had been turned down for Medi-Cal in the past, he presumed he still wouldn’t qualify, even under Obamacare.\u003c/p>\n\u003cp>Earlier this year, he went to get a physical at a community clinic, and they tried to sign him up for a county program. But even the $20 a month payment was too steep for his budget.\u003c/p>\n\u003cp>While he'd like to be insured, Alexander, 53, says he feels pretty healthy.\u003c/p>\n\u003cp>\"I mean, there’s times where I’d be tired from fatigue and my age, a little arthritis, but I still feel pretty good,\" he says. \"But what might be going on inside of me is a different story.\"\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/167433325&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>Alexander’s blood pressure is high. He got free pills free from a clinic and plans to return when he runs out.\u003c/p>\n\u003cp>The only time in his adult life when he had health care was when he was incarcerated. He had substance abuse issues and was involved in a bank robbery. He says he had tried recovery programs, but didn't succeed, until he became a born-again Christian.\u003c/p>\n\u003cp>\"That was divine intervention. It really happened,\" he says. \"I been clean and sober since July, 2011.\"\u003c/p>\n\u003cp>And so he’s grateful for what he’s got. He just doesn’t know how he’d get insurance right now.\u003c/p>\n\u003cp>\u003cstrong>The Remaining Uninsured\u003c/strong>\u003c/p>\n\u003cp>Uninsured Californians fall into a few categories, says Laurel Lucia with the U.C. Berkeley Labor Center. One is called the \"family glitch.\"\u003c/p>\n\u003cp>\"Basically spouses and children who can get coverage through a family member’s employer but it’s too expensive,\" she says.\u003c/p>\n\u003cp>Sometimes the employee part of the premium is affordable, but the family coverage is much higher. But because the employer made an offer of insurance to family members, \"(w)hen they go to Covered California they’re told they’re ineligible for subsidies,\" Lucia says. It's part of federal policy.\u003c/p>\n\u003cp>A second uninsured group is Californians who are eligible for subsidies through Covered California -- but still find the premiums unaffordable.\u003c/p>\n\u003cp>Finally, Lucia says there may be nearly one million Californians who are eligible for Medi-Cal but don’t know it, or have had difficulties enrolling.\u003c/p>\n\u003cp>It's unclear exactly which category Alexander may fit into.\u003c/p>\n\u003cp>\u003cstrong>The Enrollment Counselor's Perspective\u003c/strong>\u003c/p>\n\u003cp>Over in East Palo Alto, Irais Bazan is an enrollment and eligibility manager at the Ravenswood Family Health Clinic. Bazan has met people in all of those uninsured categories -- and more.\u003c/p>\n\u003cp>\"Situations can change at any minute,\" she said. \"So we’re adamant with clients, any changes, as little as you may think\" must be reported right away. Things like adding a dependent -- or subtracting one, if you are no longer declaring a child as a dependent on your taxes. Or even small changes in income may make a difference.\u003c/p>\n\u003cp>\"You have to come back, let us know,\" she says. \"Sometimes these rules for these programs change.\"\u003c/p>\n\u003cp>And someone who thought they weren’t eligible for Medi-Cal or Covered California subsidies before may be eligible now. That may describe Leaburn Alexander. But while coming back to the clinic sounds like a minor hassle, for him, it's a big barrier.\u003c/p>\n\u003cp>\"Scheduling time to do that, an appointment. It’s kind of rough, kind of hard right now,\" Alexander says.\u003c/p>\n\u003cp>Just as Alexander has no wiggle room in his budget, he has precious little wiggle room in his schedule. After he wraps his overnight janitor job, he heads to a second job, washing dishes at a Stanford dining hall. He says he gets his sleep in 20 and 30 minute naps on his hours-long daily commute.\u003c/p>\n\u003cp>He has one full morning off each week, the only time he could meet with an enrollment counselor to update his family status, present income verification for himself and his wife, and see if he qualifies for health coverage. But that time is taken up with other needs of daily life.\u003c/p>\n\u003cp>\"Come Wednesday,\" he says, about his morning off, \"that’s when my pastor comes and gets us and takes us grocery shopping.\"\u003c/p>\n\u003cp>Alexander remains optimistic that his situation will improve.\u003c/p>\n\u003cp>\"I’m hopeful that through prayer that God will bless me with a better paying job,\" he told me. \"I got a feeling, that’s coming. Because He knows my situation.\"\u003c/p>\n\u003cp>Alexander hopes that job will be closer to home, and that he’ll have the time and money to get health coverage.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Lisa Morehouse produced this story while participating in \u003ca title=\"Health Journalism Fellowships\" href=\"http://www.reportingonhealth.org/fellowships/seminars\" target=\"_blank\">The California Endowment Health Journalism Fellowships\u003c/a>, a program of USC's Annenberg School of Journalism.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/21509/remaining-uninsured-face-challenges-in-cost-and-simply-signing-up","authors":["8344"],"categories":["stateofhealth_11","stateofhealth_15"],"tags":["stateofhealth_368","stateofhealth_79"],"featImg":"stateofhealth_21524","label":"stateofhealth"},"stateofhealth_20413":{"type":"posts","id":"stateofhealth_20413","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"20413","score":null,"sort":[1406729846000]},"guestAuthors":[],"slug":"survey-3-million-californians-newly-insured-under-obamacare","title":"Survey: 3 Million Californians Newly Insured Under Obamacare","publishDate":1406729846,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_20198\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/Sandra-Lopez-2.jpg\">\u003cimg class=\"size-large wp-image-20198\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/Sandra-Lopez-2-640x427.jpg\" alt=\"Under the Affordable Care Act Sandra Lopez, 41, owner of Las Fajitas in Newport Beach, obtained health insurance for the first time since arriving in the U.S. in 1990. (Heidi de Marco/Kaiser Health News).\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Under the Affordable Care Act Sandra Lopez, 41, owner of Las Fajitas in Newport Beach, obtained health insurance for the first time since arriving in the U.S. in 1990. (Heidi de Marco/Kaiser Health News).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Anna Gorman,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/July/30/california-uninsured-marketplace-enrollment-survey.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>A significant portion of previously uninsured Californians gained medical coverage through the nation’s health care law – about six in 10 during the state’s first open enrollment, according to a survey released Wednesday.\u003c/p>\n\u003cp>All told, about 3.4 million people who didn’t have health insurance before sign-ups began last fall are now covered, according to the survey by the Kaiser Family Foundation.\u003c/p>\n\u003cp>The largest share of the previously uninsured -- 25 percent -- enrolled through the state’s Medi-Cal program, which has long covered poor families but was expanded this year to include adults without children. Nine percent purchased private plans through the subsidized insurance marketplace, Covered California, which opened in October. And 12 percent became insured through their jobs, the researchers found.\u003c!--more-->\u003c/p>\n\u003cp>Sara Rosenbaum, health law professor at George Washington University, said the state’s progress has national importance.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“California is such an outsized presence in terms of uninsured people,” she said. “For California to have made this progress has a major effect on the national uninsured numbers.”\u003c/p>\n\u003cp>About 1.4 million people purchased private plans through the insurance marketplace by the end of open enrollment – far more than any other state, according to Covered California. Nearly 2 million had enrolled in Medi-Cal.\u003c/p>\n\u003cp>Allynne Noelle, a principal dancer for the Los Angeles ballet, chose a Blue Shield plan offered by her employer through Covered California’s small business exchange. And although the $5,000 deductible is “extremely high” for her, she’s relieved, she said.\u003c/p>\n\u003cp>“This new coverage is a peace of mind,” she said. “It will save me from drowning in medical bills.”\u003c/p>\n\u003cp>The number of previously uninsured Californians cited by the survey who have gained coverage is much larger than expected, said Gerald Kominski, director of the UCLA Center for Health Policy Research, which helped create the official enrollment projections for Covered California.\u003c/p>\n\u003cp>“If the numbers are accurate and borne out by larger studies … I think it is an indication that the law is working even better than many of us anticipated,” he said.\u003c/p>\n\u003cp>\u003cstrong>Still Uninsured\u003c/strong>\u003c/p>\n\u003cp>Even though the state exceeded its own expectations for coverage, more than 40 percent of those previously uninsured still don’t have health insurance, according to the survey. Some said they didn’t enroll because of the cost, while others feared that signing up would bring attention to their family’s immigration status. Those who are in the U.S. illegally are not eligible for coverage.\u003c/p>\n\u003cp>The remaining uninsured may be hard to reach. More than 80 percent either have never been covered or haven’t had a plan in at least two years, the survey found. About 60 percent are Latino.\u003c/p>\n\u003cp>“It would be nice to have coverage,” said Steve Mercill, 59, who most of his life has worked jobs that didn’t offer coverage. He is now a paid caregiver for his father, a retired doctor, in a small town near the Oregon border.\u003c/p>\n\u003cp>Mercill tried to purchase a plan through Covered California last year but said he couldn’t get the website to work and couldn’t get the help he needed through the call center. He plans to try again in the fall.\u003c/p>\n\u003cp>The Kaiser Family Foundation survey focused on those without coverage last fall, before open enrollment.\u003c/p>\n\u003cp>Kominski of UCLA said that by focusing only on those who were previously uninsured, the survey doesn’t paint a complete picture: While some people gained coverage, others lost it.\u003c/p>\n\u003cp>“There is churn in the health care system and this study does not account for that,” he said.\u003c/p>\n\u003cp>\u003cstrong>Aggressive Enrollment\u003c/strong>\u003c/p>\n\u003cp>Before the nation’s health law took effect, California had the highest number of uninsured in the nation, coming from highly diverse ethnic backgrounds and cultures. But the state embraced Obamacare before most others and was the first to create a state-run insurance exchange.\u003c/p>\n\u003cp>Though there were some initial technical problems in the enrollment process, they were fewer and less severe than those in the federal exchange and other states. In addition, the hospitals, community clinics and social services offices were aggressive in enrolling those eligible for Medi-Cal.\u003c/p>\n\u003cp>“The fact that a quarter of the previously uninsured Californians ended up enrolled in Medi-Cal points to what a key piece Medicaid is in the puzzle in getting more Americans covered,” said Mollyann Brodie, executive director of the Kaiser Family Foundation’s Public Opinion and Survey Research.\u003c/p>\n\u003cp>“That was a piece that often got less attention during open enrollment season,” she said.\u003c/p>\n\u003cp>Most of those who got covered said it was easy to sign up. Leslie Ziegler, 31, said signing up for insurance through the Covered California website only took about an hour. Before Obamacare, Ziegler, a San Francisco high-tech entrepreneur, had been turned down by several insurance companies because she had ulcerative colitis, a chronic disease that requires costly medication and treatment.\u003c/p>\n\u003cp>Companies can no longer deny coverage because of pre-existing conditions. Ziegler is thankful, saying having access to insurance and health care whenever she needs it is “a wonderful thing.”\u003c/p>\n\u003cp>Some respondents said, however, that it was difficult to confirm their coverage. Even now, hundreds of thousands of Medi-Cal applicants are waiting for cards confirming their eligibility.\u003c/p>\n\u003cp>Teresa Martinez sought help at a Los Angeles health clinic to sign up for Medi-Cal, but months later, she is still waiting for her card. Martinez, a Koreatown hair stylist, said she is anxious to see a doctor to treat arthritis and pain in her leg, as well as help her keep her blood sugar in check to fend off diabetes.\u003c/p>\n\u003cp>\u003cstrong>‘A Huge Relief’\u003c/strong>\u003c/p>\n\u003cp>Despite an early lag in Latino enrollment, the survey found that more than half of previously uninsured Latinos ultimately got coverage.\u003c/p>\n\u003cp>“It’s a huge relief,” said Newport Beach restaurateur Sandra Lopez, a 41-year-old Mexican immigrant \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/16/latina-small-business-owner-enters-the-covered-california-insurance-marketplace/\" target=\"_blank\">who enrolled her family,\u003c/a> including a young adult son with epilepsy, in a subsidized private plan through California’s exchange.\u003c/p>\n\u003cp>The state’s far-reaching efforts to spread the word about the law and get people signed up made a difference, researchers said. About 60 percent of Medi-Cal or Covered California enrollees had someone help them sign up. About seven in ten uninsured Californians who were contacted about signing up did so, compared to about half of people who were not contacted.\u003c/p>\n\u003cp>“Outreach was such an important predictor in whether an uninsured person got health insurance or not,” Brodie said. But friends and family did not have much of an impact on whether people enrolled.\u003c/p>\n\u003cp>Meifeng Lui, 52, said her family of five had been uninsured for four years because they could not afford coverage. Lui said she was “very grateful and so blessed” that the enrollment counselors spoke their language at the Chinese Community Health Plan in San Francisco and helped her enroll in a private plan through Covered California.\u003c/p>\n\u003cp>“I was so happy because someone knew what to do,” said Lui.\u003c/p>\n\u003cp>When Maria Garcia decided to enroll under Obamacare, she sought help from a counselor at the Ravenswood Family Health Center near her home in East Palo Alto.\u003c/p>\n\u003cp>She didn't feel comfortable navigating Covered California’s site. Within hours, she said, the counselor helped her settle on a Kaiser Permanente plan, for which she'd pay just $36 a month thanks to a subsidy from the state.\u003c/p>\n\u003cp>According to the survey, most of those who got insurance said their plan is “a good value” for what they pay but nearly half of people who got plans other than Medi-Cal said that it has been difficult to afford the coverage.\u003c/p>\n\u003cp>Researchers found stark differences in how people signed up for Medi-Cal versus the subsidized private plans in Covered California. More than half of Medi-Cal recipients enrolled in person, compared to 15 percent over the Internet. More than half of Covered California enrollees, however, signed up over the Internet, compared to 15 percent in person.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The researchers surveyed 2,001 uninsured Californians last summer, then conducted a second round of interviews with many of the same people this spring. The margin of sampling error was plus or minus 4 percentage points. For subgroups sampled, the margins were slightly larger.\u003c/p>\n\n","blocks":[],"excerpt":"About 60 percent of California's previously uninsured now have coverage.","status":"publish","parent":0,"modified":1406729846,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":42,"wordCount":1468},"headData":{"title":"Survey: 3 Million Californians Newly Insured Under Obamacare | KQED","description":"About 60 percent of California's previously uninsured now have coverage.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"20413 http://blogs.kqed.org/stateofhealth/?p=20413","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/07/30/survey-3-million-californians-newly-insured-under-obamacare/","disqusTitle":"Survey: 3 Million Californians Newly Insured Under Obamacare","path":"/stateofhealth/20413/survey-3-million-californians-newly-insured-under-obamacare","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20198\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/Sandra-Lopez-2.jpg\">\u003cimg class=\"size-large wp-image-20198\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/Sandra-Lopez-2-640x427.jpg\" alt=\"Under the Affordable Care Act Sandra Lopez, 41, owner of Las Fajitas in Newport Beach, obtained health insurance for the first time since arriving in the U.S. in 1990. (Heidi de Marco/Kaiser Health News).\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Under the Affordable Care Act Sandra Lopez, 41, owner of Las Fajitas in Newport Beach, obtained health insurance for the first time since arriving in the U.S. in 1990. (Heidi de Marco/Kaiser Health News).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Anna Gorman,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/July/30/california-uninsured-marketplace-enrollment-survey.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>A significant portion of previously uninsured Californians gained medical coverage through the nation’s health care law – about six in 10 during the state’s first open enrollment, according to a survey released Wednesday.\u003c/p>\n\u003cp>All told, about 3.4 million people who didn’t have health insurance before sign-ups began last fall are now covered, according to the survey by the Kaiser Family Foundation.\u003c/p>\n\u003cp>The largest share of the previously uninsured -- 25 percent -- enrolled through the state’s Medi-Cal program, which has long covered poor families but was expanded this year to include adults without children. Nine percent purchased private plans through the subsidized insurance marketplace, Covered California, which opened in October. And 12 percent became insured through their jobs, the researchers found.\u003c!--more-->\u003c/p>\n\u003cp>Sara Rosenbaum, health law professor at George Washington University, said the state’s progress has national importance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“California is such an outsized presence in terms of uninsured people,” she said. “For California to have made this progress has a major effect on the national uninsured numbers.”\u003c/p>\n\u003cp>About 1.4 million people purchased private plans through the insurance marketplace by the end of open enrollment – far more than any other state, according to Covered California. Nearly 2 million had enrolled in Medi-Cal.\u003c/p>\n\u003cp>Allynne Noelle, a principal dancer for the Los Angeles ballet, chose a Blue Shield plan offered by her employer through Covered California’s small business exchange. And although the $5,000 deductible is “extremely high” for her, she’s relieved, she said.\u003c/p>\n\u003cp>“This new coverage is a peace of mind,” she said. “It will save me from drowning in medical bills.”\u003c/p>\n\u003cp>The number of previously uninsured Californians cited by the survey who have gained coverage is much larger than expected, said Gerald Kominski, director of the UCLA Center for Health Policy Research, which helped create the official enrollment projections for Covered California.\u003c/p>\n\u003cp>“If the numbers are accurate and borne out by larger studies … I think it is an indication that the law is working even better than many of us anticipated,” he said.\u003c/p>\n\u003cp>\u003cstrong>Still Uninsured\u003c/strong>\u003c/p>\n\u003cp>Even though the state exceeded its own expectations for coverage, more than 40 percent of those previously uninsured still don’t have health insurance, according to the survey. Some said they didn’t enroll because of the cost, while others feared that signing up would bring attention to their family’s immigration status. Those who are in the U.S. illegally are not eligible for coverage.\u003c/p>\n\u003cp>The remaining uninsured may be hard to reach. More than 80 percent either have never been covered or haven’t had a plan in at least two years, the survey found. About 60 percent are Latino.\u003c/p>\n\u003cp>“It would be nice to have coverage,” said Steve Mercill, 59, who most of his life has worked jobs that didn’t offer coverage. He is now a paid caregiver for his father, a retired doctor, in a small town near the Oregon border.\u003c/p>\n\u003cp>Mercill tried to purchase a plan through Covered California last year but said he couldn’t get the website to work and couldn’t get the help he needed through the call center. He plans to try again in the fall.\u003c/p>\n\u003cp>The Kaiser Family Foundation survey focused on those without coverage last fall, before open enrollment.\u003c/p>\n\u003cp>Kominski of UCLA said that by focusing only on those who were previously uninsured, the survey doesn’t paint a complete picture: While some people gained coverage, others lost it.\u003c/p>\n\u003cp>“There is churn in the health care system and this study does not account for that,” he said.\u003c/p>\n\u003cp>\u003cstrong>Aggressive Enrollment\u003c/strong>\u003c/p>\n\u003cp>Before the nation’s health law took effect, California had the highest number of uninsured in the nation, coming from highly diverse ethnic backgrounds and cultures. But the state embraced Obamacare before most others and was the first to create a state-run insurance exchange.\u003c/p>\n\u003cp>Though there were some initial technical problems in the enrollment process, they were fewer and less severe than those in the federal exchange and other states. In addition, the hospitals, community clinics and social services offices were aggressive in enrolling those eligible for Medi-Cal.\u003c/p>\n\u003cp>“The fact that a quarter of the previously uninsured Californians ended up enrolled in Medi-Cal points to what a key piece Medicaid is in the puzzle in getting more Americans covered,” said Mollyann Brodie, executive director of the Kaiser Family Foundation’s Public Opinion and Survey Research.\u003c/p>\n\u003cp>“That was a piece that often got less attention during open enrollment season,” she said.\u003c/p>\n\u003cp>Most of those who got covered said it was easy to sign up. Leslie Ziegler, 31, said signing up for insurance through the Covered California website only took about an hour. Before Obamacare, Ziegler, a San Francisco high-tech entrepreneur, had been turned down by several insurance companies because she had ulcerative colitis, a chronic disease that requires costly medication and treatment.\u003c/p>\n\u003cp>Companies can no longer deny coverage because of pre-existing conditions. Ziegler is thankful, saying having access to insurance and health care whenever she needs it is “a wonderful thing.”\u003c/p>\n\u003cp>Some respondents said, however, that it was difficult to confirm their coverage. Even now, hundreds of thousands of Medi-Cal applicants are waiting for cards confirming their eligibility.\u003c/p>\n\u003cp>Teresa Martinez sought help at a Los Angeles health clinic to sign up for Medi-Cal, but months later, she is still waiting for her card. Martinez, a Koreatown hair stylist, said she is anxious to see a doctor to treat arthritis and pain in her leg, as well as help her keep her blood sugar in check to fend off diabetes.\u003c/p>\n\u003cp>\u003cstrong>‘A Huge Relief’\u003c/strong>\u003c/p>\n\u003cp>Despite an early lag in Latino enrollment, the survey found that more than half of previously uninsured Latinos ultimately got coverage.\u003c/p>\n\u003cp>“It’s a huge relief,” said Newport Beach restaurateur Sandra Lopez, a 41-year-old Mexican immigrant \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/16/latina-small-business-owner-enters-the-covered-california-insurance-marketplace/\" target=\"_blank\">who enrolled her family,\u003c/a> including a young adult son with epilepsy, in a subsidized private plan through California’s exchange.\u003c/p>\n\u003cp>The state’s far-reaching efforts to spread the word about the law and get people signed up made a difference, researchers said. About 60 percent of Medi-Cal or Covered California enrollees had someone help them sign up. About seven in ten uninsured Californians who were contacted about signing up did so, compared to about half of people who were not contacted.\u003c/p>\n\u003cp>“Outreach was such an important predictor in whether an uninsured person got health insurance or not,” Brodie said. But friends and family did not have much of an impact on whether people enrolled.\u003c/p>\n\u003cp>Meifeng Lui, 52, said her family of five had been uninsured for four years because they could not afford coverage. Lui said she was “very grateful and so blessed” that the enrollment counselors spoke their language at the Chinese Community Health Plan in San Francisco and helped her enroll in a private plan through Covered California.\u003c/p>\n\u003cp>“I was so happy because someone knew what to do,” said Lui.\u003c/p>\n\u003cp>When Maria Garcia decided to enroll under Obamacare, she sought help from a counselor at the Ravenswood Family Health Center near her home in East Palo Alto.\u003c/p>\n\u003cp>She didn't feel comfortable navigating Covered California’s site. Within hours, she said, the counselor helped her settle on a Kaiser Permanente plan, for which she'd pay just $36 a month thanks to a subsidy from the state.\u003c/p>\n\u003cp>According to the survey, most of those who got insurance said their plan is “a good value” for what they pay but nearly half of people who got plans other than Medi-Cal said that it has been difficult to afford the coverage.\u003c/p>\n\u003cp>Researchers found stark differences in how people signed up for Medi-Cal versus the subsidized private plans in Covered California. More than half of Medi-Cal recipients enrolled in person, compared to 15 percent over the Internet. More than half of Covered California enrollees, however, signed up over the Internet, compared to 15 percent in person.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The researchers surveyed 2,001 uninsured Californians last summer, then conducted a second round of interviews with many of the same people this spring. The margin of sampling error was plus or minus 4 percentage points. For subgroups sampled, the margins were slightly larger.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20413/survey-3-million-californians-newly-insured-under-obamacare","authors":["8344"],"categories":["stateofhealth_15"],"tags":["stateofhealth_368","stateofhealth_79"],"featImg":"stateofhealth_20198","label":"stateofhealth"},"stateofhealth_18905":{"type":"posts","id":"stateofhealth_18905","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"18905","score":null,"sort":[1398446704000]},"guestAuthors":[],"slug":"confusion-cost-lead-some-californians-to-go-uninsured","title":"Despite Obamacare, Why Some Choose to Skip Health Insurance","publishDate":1398446704,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_18906\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/scott-belsha_wide-a87f62e61a76732bf9dfab9cef2e11f13fc600ee-s40-c85.jpg\">\u003cimg class=\"size-large wp-image-18906\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/scott-belsha_wide-a87f62e61a76732bf9dfab9cef2e11f13fc600ee-s40-c85-640x360.jpg\" alt=\"Scott Belsha says he opted out of buying health insurance because he has never had it and has managed to stay healthy (Stephanie O'Neill/NPR).\" width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Scott Belsha says he opted out of buying health insurance because he has never had it and has managed to stay healthy (Stephanie O'Neill/NPR).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Stephanie O'Neill, \u003ca href=\"http://www.npr.org/blogs/health/2014/04/25/306440333/confusion-cost-lead-some-californians-to-go-uninsured\" target=\"_blank\">NPR\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>Despite a surge in enrollment in the two weeks before the April 15 deadline to enroll for health insurance under the federal health law, many more Californians still haven't signed up, and they're unlikely to.\u003c/p>\n\u003cp>Many people are uninterested, confused or skeptical.\u003c/p>\n\u003cp>Scott Belsha, from Long Beach, Calif., falls in the skeptical category.\u003c/p>\n\u003cp>\"I've been consumed with living my life, and I'm fortunate to be healthy,\" he says. He works as a musician and carpenter, and he's never had health insurance. His parents, who own a small business, always paid cash for medical care, most of which they were able to get from a doctor friend.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I haven't ever been to the hospital or broken a bone,\" he says. \"But I'm 34, and I should probably start thinking about it.\"\u003c!--more-->\u003c/p>\n\u003cp>Steven Petersen, 40, of Los Angeles, says he looked into his options but couldn't afford $240 a month, the lowest premium he could find. He'd prefer a cheap, catastrophic plan. \"I just take care of myself every day, and eat well and try to stay healthy,\" he says.\u003c/p>\n\u003cp>The Affordable Care Act's individual mandate requires nearly every American to have insurance or pay a tax penalty of either $95 or up to 1 percent of income, whichever is greater.\u003c/p>\n\u003cp>But Larry Levitt, senior vice president at the nonprofit Kaiser Family Foundation, says he wasn't expecting every uninsured person to sign up during this first year. \"The expectations are that enrollment will ramp up over a period of years,\" he says.\u003c/p>\n\u003cp>State of Health \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/23/expert-millions-more-uninsured-will-get-coverage-during-the-next-three-years/\" target=\"_blank\">reported\u003c/a> earlier this week that California health policy experts say it will take three years to get complete picture of enrollment in the state.\u003c/p>\n\u003cp>The Congressional Budget Office estimates that even years from now the number of uninsured will be large: about 30 million nationwide. Some of those people will be living in states that have opted not to expand Medicaid to adults without dependent children. Others will be immigrants who don't qualify for coverage under the law. \"But the biggest category are people who simply will choose not to enroll,\" Levitt says.\u003c/p>\n\u003cp>Beth Engel, in Ventura County, Calif., is a 32-year-old mother of a nearly 3-year-old daughter and describes herself as an early supporter of the Affordable Care Act.\u003c/p>\n\u003cp>\"I was very hopeful,\" she says. \"I thought, 'Wow! I can have a job that I love that doesn't necessarily have insurance but I get insurance affordably.'\"\u003c/p>\n\u003cp>Engel works part time as a hotel clerk and qualifies for tax subsidies that reduce premiums for her and her toddler to about $200 a month. But she chose not to buy insurance for herself this year. \"I found that the premiums were still very high, and I just couldn't afford them,\" she says.\u003c/p>\n\u003cp>Even though now she's armed with the knowledge that she can take the subsidy upfront in the form of a reduced insurance premium, she says she's reluctant to do that without thoroughly understanding the plans offered through the state-run marketplace,\u003c/p>\n\u003cp>\"Maybe I'm reading these incorrectly,\" she says, \"but it just didn't make sense, and I thought I'm not going to put money I don't really have to spend into a program that I don't really understand.\"\u003c/p>\n\u003cp>Engel did get her daughter health coverage through Medicaid. People in California and other states that expanded can enroll year-round. As for her own medical needs? She'll go without health insurance and pay the penalty, which for her is less than the cost of insurance. She says she'll reconsider her options when enrollment opens again in November.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This story is part of a partnership with NPR, KPCC and \u003cem>Kaiser Health News\u003c/em>, an editorially independent program of the Kaiser Family Foundation.\u003c/p>\n\n","blocks":[],"excerpt":"Many Californians say they are uninterested, confused or skeptical about insurance.","status":"publish","parent":0,"modified":1398969906,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":673},"headData":{"title":"Despite Obamacare, Why Some Choose to Skip Health Insurance | KQED","description":"Many Californians say they are uninterested, confused or skeptical about insurance.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"18905 http://blogs.kqed.org/stateofhealth/?p=18905","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/04/25/confusion-cost-lead-some-californians-to-go-uninsured/","disqusTitle":"Despite Obamacare, Why Some Choose to Skip Health Insurance","path":"/stateofhealth/18905/confusion-cost-lead-some-californians-to-go-uninsured","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18906\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/scott-belsha_wide-a87f62e61a76732bf9dfab9cef2e11f13fc600ee-s40-c85.jpg\">\u003cimg class=\"size-large wp-image-18906\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/scott-belsha_wide-a87f62e61a76732bf9dfab9cef2e11f13fc600ee-s40-c85-640x360.jpg\" alt=\"Scott Belsha says he opted out of buying health insurance because he has never had it and has managed to stay healthy (Stephanie O'Neill/NPR).\" width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Scott Belsha says he opted out of buying health insurance because he has never had it and has managed to stay healthy (Stephanie O'Neill/NPR).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Stephanie O'Neill, \u003ca href=\"http://www.npr.org/blogs/health/2014/04/25/306440333/confusion-cost-lead-some-californians-to-go-uninsured\" target=\"_blank\">NPR\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>Despite a surge in enrollment in the two weeks before the April 15 deadline to enroll for health insurance under the federal health law, many more Californians still haven't signed up, and they're unlikely to.\u003c/p>\n\u003cp>Many people are uninterested, confused or skeptical.\u003c/p>\n\u003cp>Scott Belsha, from Long Beach, Calif., falls in the skeptical category.\u003c/p>\n\u003cp>\"I've been consumed with living my life, and I'm fortunate to be healthy,\" he says. He works as a musician and carpenter, and he's never had health insurance. His parents, who own a small business, always paid cash for medical care, most of which they were able to get from a doctor friend.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I haven't ever been to the hospital or broken a bone,\" he says. \"But I'm 34, and I should probably start thinking about it.\"\u003c!--more-->\u003c/p>\n\u003cp>Steven Petersen, 40, of Los Angeles, says he looked into his options but couldn't afford $240 a month, the lowest premium he could find. He'd prefer a cheap, catastrophic plan. \"I just take care of myself every day, and eat well and try to stay healthy,\" he says.\u003c/p>\n\u003cp>The Affordable Care Act's individual mandate requires nearly every American to have insurance or pay a tax penalty of either $95 or up to 1 percent of income, whichever is greater.\u003c/p>\n\u003cp>But Larry Levitt, senior vice president at the nonprofit Kaiser Family Foundation, says he wasn't expecting every uninsured person to sign up during this first year. \"The expectations are that enrollment will ramp up over a period of years,\" he says.\u003c/p>\n\u003cp>State of Health \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/23/expert-millions-more-uninsured-will-get-coverage-during-the-next-three-years/\" target=\"_blank\">reported\u003c/a> earlier this week that California health policy experts say it will take three years to get complete picture of enrollment in the state.\u003c/p>\n\u003cp>The Congressional Budget Office estimates that even years from now the number of uninsured will be large: about 30 million nationwide. Some of those people will be living in states that have opted not to expand Medicaid to adults without dependent children. Others will be immigrants who don't qualify for coverage under the law. \"But the biggest category are people who simply will choose not to enroll,\" Levitt says.\u003c/p>\n\u003cp>Beth Engel, in Ventura County, Calif., is a 32-year-old mother of a nearly 3-year-old daughter and describes herself as an early supporter of the Affordable Care Act.\u003c/p>\n\u003cp>\"I was very hopeful,\" she says. \"I thought, 'Wow! I can have a job that I love that doesn't necessarily have insurance but I get insurance affordably.'\"\u003c/p>\n\u003cp>Engel works part time as a hotel clerk and qualifies for tax subsidies that reduce premiums for her and her toddler to about $200 a month. But she chose not to buy insurance for herself this year. \"I found that the premiums were still very high, and I just couldn't afford them,\" she says.\u003c/p>\n\u003cp>Even though now she's armed with the knowledge that she can take the subsidy upfront in the form of a reduced insurance premium, she says she's reluctant to do that without thoroughly understanding the plans offered through the state-run marketplace,\u003c/p>\n\u003cp>\"Maybe I'm reading these incorrectly,\" she says, \"but it just didn't make sense, and I thought I'm not going to put money I don't really have to spend into a program that I don't really understand.\"\u003c/p>\n\u003cp>Engel did get her daughter health coverage through Medicaid. People in California and other states that expanded can enroll year-round. As for her own medical needs? She'll go without health insurance and pay the penalty, which for her is less than the cost of insurance. She says she'll reconsider her options when enrollment opens again in November.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This story is part of a partnership with NPR, KPCC and \u003cem>Kaiser Health News\u003c/em>, an editorially independent program of the Kaiser Family Foundation.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/18905/confusion-cost-lead-some-californians-to-go-uninsured","authors":["8344"],"categories":["stateofhealth_15"],"tags":["stateofhealth_294","stateofhealth_368","stateofhealth_79"],"featImg":"stateofhealth_18906","label":"stateofhealth"},"stateofhealth_18851":{"type":"posts","id":"stateofhealth_18851","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"18851","score":null,"sort":[1398295239000]},"guestAuthors":[],"slug":"expert-millions-more-uninsured-will-get-coverage-during-the-next-three-years","title":"Expert: Millions More Uninsured Will Get Coverage in Next Three Years","publishDate":1398295239,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_18279\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-e1395532478928.png\">\u003cimg class=\"size-large wp-image-18279\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-640x329.png\" alt=\"Covered California application in Chinese.\" width=\"640\" height=\"329\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California application in Chinese.\u003c/figcaption>\u003c/figure>\n\u003cp>Now that the final numbers from Covered California's first open enrollment period are in, experts are already looking ahead to the next steps.\u003c/p>\n\u003cp>Nearly 1.4 million Californians have signed up for health care coverage through the exchange. Another 1.9 million are now covered by the expanded Medi-Cal program. That's almost 3.5 million state residents.\u003c/p>\n\u003cp>And yet 5.8 million Californians remain uninsured.\u003c/p>\n\u003cp>Gerald Kominski, professor of Health Policy and Management and director of the UCLA Center for Health Policy Research, said these numbers are on target with early projections.\u003c!--more-->\u003c/p>\n\u003cp>Kominski says about one million of the remaining uninsured are undocumented and not eligible for coverage under the Affordable Care Act. But he expects the majority of the others will gain insurance over the next few years.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We really think that enrollment in ACA is a 3-year process rather than get everyone enrolled the first year,\" Kominski said.\u003c/p>\n\u003cp>He projects that by 2017 the number of remaining uninsured, excluding those who are undocumented, will be 1.2 million people.\u003c/p>\n\u003cp>\"I think that would be a tremendous success,\" Kominski said.\u003c/p>\n\u003cp>So why the lag time?\u003c/p>\n\u003cp>\"We projected there would be full expected enrollment after three years of the program,\" Kominski said. \"Part of that is because of the tax penalties that get phased in over the next three years. No one has paid a penalty yet for being uninsured. That will happen next April when income taxes are due.\"\u003c/p>\n\u003cp>Once the penalties hit home, Kominski said he expects those additional enrollments will start rolling in.\u003c/p>\n\u003cp>The other big issue that health policy experts are keeping their eyes on going forward is so-called churn.\u003c/p>\n\u003cp>Ken Jacobs, chair of the UC Berkeley Labor Center, said that it's important that the huge outreach effort continues — both because of Californians that remain uninsured and those that may lose their insurance in coming years for any number of reasons.\u003c/p>\n\u003cp>Changing jobs, getting married or divorced, having or adopting a baby — any of these are qualifying events that will allow people to sign up for coverage outside of the open enrollment periods.\u003c/p>\n\u003cp>Jacobs said at least half a million Californians will become newly eligible for the exchange during the course of the year by losing their existing coverage.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The information storm around the initial enrollment period may be over. But experts say while millions of Californians signed up during this first phase, there are still millions more who will be shopping for Covered California plans over the next few years.\u003c/p>\n\n","blocks":[],"excerpt":"The number of uninsured in California could drop from 4.8 to 1.2 million in the next three years.","status":"publish","parent":0,"modified":1398970068,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":430},"headData":{"title":"Expert: Millions More Uninsured Will Get Coverage in Next Three Years | KQED","description":"The number of uninsured in California could drop from 4.8 to 1.2 million in the next three years.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"18851 http://blogs.kqed.org/stateofhealth/?p=18851","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/04/23/expert-millions-more-uninsured-will-get-coverage-during-the-next-three-years/","disqusTitle":"Expert: Millions More Uninsured Will Get Coverage in Next Three Years","path":"/stateofhealth/18851/expert-millions-more-uninsured-will-get-coverage-during-the-next-three-years","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18279\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-e1395532478928.png\">\u003cimg class=\"size-large wp-image-18279\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-640x329.png\" alt=\"Covered California application in Chinese.\" width=\"640\" height=\"329\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California application in Chinese.\u003c/figcaption>\u003c/figure>\n\u003cp>Now that the final numbers from Covered California's first open enrollment period are in, experts are already looking ahead to the next steps.\u003c/p>\n\u003cp>Nearly 1.4 million Californians have signed up for health care coverage through the exchange. Another 1.9 million are now covered by the expanded Medi-Cal program. That's almost 3.5 million state residents.\u003c/p>\n\u003cp>And yet 5.8 million Californians remain uninsured.\u003c/p>\n\u003cp>Gerald Kominski, professor of Health Policy and Management and director of the UCLA Center for Health Policy Research, said these numbers are on target with early projections.\u003c!--more-->\u003c/p>\n\u003cp>Kominski says about one million of the remaining uninsured are undocumented and not eligible for coverage under the Affordable Care Act. But he expects the majority of the others will gain insurance over the next few years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We really think that enrollment in ACA is a 3-year process rather than get everyone enrolled the first year,\" Kominski said.\u003c/p>\n\u003cp>He projects that by 2017 the number of remaining uninsured, excluding those who are undocumented, will be 1.2 million people.\u003c/p>\n\u003cp>\"I think that would be a tremendous success,\" Kominski said.\u003c/p>\n\u003cp>So why the lag time?\u003c/p>\n\u003cp>\"We projected there would be full expected enrollment after three years of the program,\" Kominski said. \"Part of that is because of the tax penalties that get phased in over the next three years. No one has paid a penalty yet for being uninsured. That will happen next April when income taxes are due.\"\u003c/p>\n\u003cp>Once the penalties hit home, Kominski said he expects those additional enrollments will start rolling in.\u003c/p>\n\u003cp>The other big issue that health policy experts are keeping their eyes on going forward is so-called churn.\u003c/p>\n\u003cp>Ken Jacobs, chair of the UC Berkeley Labor Center, said that it's important that the huge outreach effort continues — both because of Californians that remain uninsured and those that may lose their insurance in coming years for any number of reasons.\u003c/p>\n\u003cp>Changing jobs, getting married or divorced, having or adopting a baby — any of these are qualifying events that will allow people to sign up for coverage outside of the open enrollment periods.\u003c/p>\n\u003cp>Jacobs said at least half a million Californians will become newly eligible for the exchange during the course of the year by losing their existing coverage.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The information storm around the initial enrollment period may be over. But experts say while millions of Californians signed up during this first phase, there are still millions more who will be shopping for Covered California plans over the next few years.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/18851/expert-millions-more-uninsured-will-get-coverage-during-the-next-three-years","authors":["252"],"categories":["stateofhealth_15"],"tags":["stateofhealth_368","stateofhealth_365","stateofhealth_79"],"featImg":"stateofhealth_18279","label":"stateofhealth"},"stateofhealth_17793":{"type":"posts","id":"stateofhealth_17793","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"17793","score":null,"sort":[1392856234000]},"guestAuthors":[],"slug":"memo-to-washington-lessons-learned-from-californias-obamacare-rollout","title":"Memo to Washington: Lessons Learned From California's Obamacare Rollout","publishDate":1392856234,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_16531\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/450630139-e1386185604738.jpg\">\u003cimg class=\"size-large wp-image-16531\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/450630139-640x426.jpg\" alt=\"Certified specialist helps a consumer apply to Covered California at a free enrollment fair at Pasadena City College. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Certified specialist helps a consumer apply to Covered California at a free enrollment fair at Pasadena City College. (David McNew/Getty Images) \u003ccite>(David McNew/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time that California was \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/19/california-exceeds-its-target-for-enrollment-in-obamacare-plans/\" target=\"_blank\">releasing its latest enrollment numbers\u003c/a> under Obamacare on Wednesday morning, advocates, experts and government officials at all levels gathered in Washington, D.C. to talk about … the Affordable Care Act in California.\u003c/p>\n\u003cp>Certainly, the rollout of Obamacare in the state has not been without its challenges and yet -- California has 12 percent of the nation's population and nearly 25 percent of all sign-ups nationwide. In addition to the more than 800,000 people currently enrolled in California, another 877,000 Californians are likely to be eligible for Medi-Cal. That's on top of another 652,000 people who transitioned to Medi-Cal from the Low Income Health Program (more on that in a minute). That's well over 2 million people total.\u003c/p>\n\u003cp>Diana Dooley, secretary of California's Health and Human Services Agency, wasn't about to gloat. \"California is certainly not ready to put up a mission-accomplished banner,\" she noted. But there was a lot of respect for California -- and a desire to learn -- from those in the room at the briefing.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Low Income Health Program Was Key \u003c/strong>\u003c/p>\n\u003cp>While it's been quite \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2014/this-program-was-bigger-than-covered-california-why-did-we-ignore-it\" target=\"_blank\">underreported\u003c/a>, the Low Income Health Program (LIHP) is one pillar of the ACA's success in California. Toby Douglas, director of California's Department of Health Care Services, said they \"thought it was a stretch goal\" to enroll 500,000 people in 2010 when the state began implementation of the program.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Despite concerns that the transition from LIHP to Medi-Cal would be bumpy, it \"really was a smooth transition,\" said Dr. Mitch Katz, director of the Los Angeles County Department of Health Services. Katz said that adding people into LIHP over several years, instead of all at once into Medi-Cal on Jan. 1, made for a much smoother expansion of Medi-Cal.\u003c/p>\n\u003cp>Linked to the Medi-Cal expansion is the importance of changes to the delivery system. \"Insurance is not health care,\" Katz said. \"We still want to leave people feeling cared for. That's a huge change for Los Angeles, which traditionally has had an episodic, emergency room-driven\" system of providing health care.\u003c/p>\n\u003cp>Several speakers talked about moving people into primary-care medical homes -- as happened to enrollees in the Low Income Health Program, Douglas said -- to better coordinate their care.\u003c/p>\n\u003cp>\u003cstrong>Challenges Remain\u003c/strong>\u003c/p>\n\u003cp>While acknowledging the state's successes, Anthony Wright of Health Access pointed to what he thinks are the challenges that remain: undocumented immigrants who are not eligible for ACA benefits; people earning more than 400 percent of poverty and not eligible for subsidies, but above 10 percent of income to pay for health insurance; and the \"kid glitch\" -- those with employer-based health insurance who are exempt from subsidies to cover their children but can't afford insurance for dependents.\u003c/p>\n\u003cp>\"I wish the conversation would change to trying to make the system work for everybody,\" Wright said.\u003c/p>\n\u003cp>Rachel Garfield, senior researcher with the Kaiser Family Foundation, presented findings about \u003ca href=\"http://kff.org/uninsured/report/the-uninsured-at-the-starting-line-in-california-california-findings-from-the-2013-kaiser-survey-of-low-income-americans-and-the-aca/\" target=\"_blank\">California's uninsured\u003c/a>. More than 2,500 adults were interviewed in the weeks leading up to the opening of the Covered California marketplace on Oct. 1, 2013 -- and the foundation plans to follow the people they surveyed to assess how the ACA changes how people use the health care system and to track what happens to people who remain uninsured, despite the ACA.\u003c/p>\n\u003cp>Of adults under 65 who are uninsured:\u003c/p>\n\u003cul>\n\u003cli>52 percent have income less than 138 percent of the federal poverty level (the cutoff for the Medicaid expansion)\u003c/li>\n\u003cli>52 percent are Hispanic\u003c/li>\n\u003cli>64 percent are U.S. citizens and another 17 percent are legal immigrants\u003c/li>\n\u003c/ul>\n\u003cp>In addition, 67 percent had no preventive care visit in the past year -- yet 30 percent have an \"ongoing health condition\" or take a medication on a regular basis.\u003c/p>\n\u003cp>Presumably at least some of those uninsured have since enrolled in coverage, either Medi-Cal or Covered California, but still, Garfield noted, they need help to \"navigate the health care system.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"UJBW8MPkrKEePWZWaMmAS7WhIusRsTlr\"]\u003c/p>\n\n","blocks":[],"excerpt":"Certainly, the rollout of Obamacare in the state has not been without its challenges, and yet -- California has 12 percent of the nation's population and nearly 25 percent of all sign-ups nationwide. In addition to the more than 800,000 people currently enrolled in California, another 877,000 Californians are likely to be eligible for Medi-Cal. That's on top of another 652,000 people who transitioned to Medi-Cal from the Low Income Health Program (more on that in a minute). That's well over 2 million people total.","status":"publish","parent":0,"modified":1393280251,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":701},"headData":{"title":"Memo to Washington: Lessons Learned From California's Obamacare Rollout | KQED","description":"Certainly, the rollout of Obamacare in the state has not been without its challenges, and yet -- California has 12 percent of the nation's population and nearly 25 percent of all sign-ups nationwide. In addition to the more than 800,000 people currently enrolled in California, another 877,000 Californians are likely to be eligible for Medi-Cal. That's on top of another 652,000 people who transitioned to Medi-Cal from the Low Income Health Program (more on that in a minute). That's well over 2 million people total.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"17793 http://blogs.kqed.org/stateofhealth/?p=17793","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/02/19/memo-to-washington-lessons-learned-from-californias-obamacare-rollout/","disqusTitle":"Memo to Washington: Lessons Learned From California's Obamacare Rollout","path":"/stateofhealth/17793/memo-to-washington-lessons-learned-from-californias-obamacare-rollout","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16531\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/450630139-e1386185604738.jpg\">\u003cimg class=\"size-large wp-image-16531\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/450630139-640x426.jpg\" alt=\"Certified specialist helps a consumer apply to Covered California at a free enrollment fair at Pasadena City College. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Certified specialist helps a consumer apply to Covered California at a free enrollment fair at Pasadena City College. (David McNew/Getty Images) \u003ccite>(David McNew/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time that California was \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/19/california-exceeds-its-target-for-enrollment-in-obamacare-plans/\" target=\"_blank\">releasing its latest enrollment numbers\u003c/a> under Obamacare on Wednesday morning, advocates, experts and government officials at all levels gathered in Washington, D.C. to talk about … the Affordable Care Act in California.\u003c/p>\n\u003cp>Certainly, the rollout of Obamacare in the state has not been without its challenges and yet -- California has 12 percent of the nation's population and nearly 25 percent of all sign-ups nationwide. In addition to the more than 800,000 people currently enrolled in California, another 877,000 Californians are likely to be eligible for Medi-Cal. That's on top of another 652,000 people who transitioned to Medi-Cal from the Low Income Health Program (more on that in a minute). That's well over 2 million people total.\u003c/p>\n\u003cp>Diana Dooley, secretary of California's Health and Human Services Agency, wasn't about to gloat. \"California is certainly not ready to put up a mission-accomplished banner,\" she noted. But there was a lot of respect for California -- and a desire to learn -- from those in the room at the briefing.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Low Income Health Program Was Key \u003c/strong>\u003c/p>\n\u003cp>While it's been quite \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2014/this-program-was-bigger-than-covered-california-why-did-we-ignore-it\" target=\"_blank\">underreported\u003c/a>, the Low Income Health Program (LIHP) is one pillar of the ACA's success in California. Toby Douglas, director of California's Department of Health Care Services, said they \"thought it was a stretch goal\" to enroll 500,000 people in 2010 when the state began implementation of the program.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Despite concerns that the transition from LIHP to Medi-Cal would be bumpy, it \"really was a smooth transition,\" said Dr. Mitch Katz, director of the Los Angeles County Department of Health Services. Katz said that adding people into LIHP over several years, instead of all at once into Medi-Cal on Jan. 1, made for a much smoother expansion of Medi-Cal.\u003c/p>\n\u003cp>Linked to the Medi-Cal expansion is the importance of changes to the delivery system. \"Insurance is not health care,\" Katz said. \"We still want to leave people feeling cared for. That's a huge change for Los Angeles, which traditionally has had an episodic, emergency room-driven\" system of providing health care.\u003c/p>\n\u003cp>Several speakers talked about moving people into primary-care medical homes -- as happened to enrollees in the Low Income Health Program, Douglas said -- to better coordinate their care.\u003c/p>\n\u003cp>\u003cstrong>Challenges Remain\u003c/strong>\u003c/p>\n\u003cp>While acknowledging the state's successes, Anthony Wright of Health Access pointed to what he thinks are the challenges that remain: undocumented immigrants who are not eligible for ACA benefits; people earning more than 400 percent of poverty and not eligible for subsidies, but above 10 percent of income to pay for health insurance; and the \"kid glitch\" -- those with employer-based health insurance who are exempt from subsidies to cover their children but can't afford insurance for dependents.\u003c/p>\n\u003cp>\"I wish the conversation would change to trying to make the system work for everybody,\" Wright said.\u003c/p>\n\u003cp>Rachel Garfield, senior researcher with the Kaiser Family Foundation, presented findings about \u003ca href=\"http://kff.org/uninsured/report/the-uninsured-at-the-starting-line-in-california-california-findings-from-the-2013-kaiser-survey-of-low-income-americans-and-the-aca/\" target=\"_blank\">California's uninsured\u003c/a>. More than 2,500 adults were interviewed in the weeks leading up to the opening of the Covered California marketplace on Oct. 1, 2013 -- and the foundation plans to follow the people they surveyed to assess how the ACA changes how people use the health care system and to track what happens to people who remain uninsured, despite the ACA.\u003c/p>\n\u003cp>Of adults under 65 who are uninsured:\u003c/p>\n\u003cul>\n\u003cli>52 percent have income less than 138 percent of the federal poverty level (the cutoff for the Medicaid expansion)\u003c/li>\n\u003cli>52 percent are Hispanic\u003c/li>\n\u003cli>64 percent are U.S. citizens and another 17 percent are legal immigrants\u003c/li>\n\u003c/ul>\n\u003cp>In addition, 67 percent had no preventive care visit in the past year -- yet 30 percent have an \"ongoing health condition\" or take a medication on a regular basis.\u003c/p>\n\u003cp>Presumably at least some of those uninsured have since enrolled in coverage, either Medi-Cal or Covered California, but still, Garfield noted, they need help to \"navigate the health care system.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"UJBW8MPkrKEePWZWaMmAS7WhIusRsTlr\"]\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/17793/memo-to-washington-lessons-learned-from-californias-obamacare-rollout","authors":["240"],"categories":["stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_368","stateofhealth_402","stateofhealth_79"],"featImg":"stateofhealth_16531","label":"stateofhealth"},"stateofhealth_17777":{"type":"posts","id":"stateofhealth_17777","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"17777","score":null,"sort":[1392771182000]},"guestAuthors":[],"slug":"new-bill-would-extend-health-coverage-to-undocumented-immigrants","title":"New Bill Would Extend Health Coverage to Undocumented Immigrants","publishDate":1392771182,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_14038\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg\">\u003cimg class=\"size-large wp-image-14038\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-620x356.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"356\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Anna Gorman\u003c/strong>, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2014/02/california-bill-would-extend-health-coverage-to-all-residents/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>In a push to cover immigrants excluded from the nation’s health reform law, a California state senator has proposed legislation that would offer health insurance for all Californians, including those living here illegally.\u003c/p>\n\u003cp>The bill, \u003ca href=\"http://legiscan.com/CA/bill/SB1005/2013\" target=\"_blank\">SB 1005\u003c/a>, would extend state-funded Medi-Cal to low-income immigrants who, because they are in the country without permission, are now eligible only for emergency and pregnancy coverage. It would also create a marketplace similar to Covered California to offer insurance policies to higher income immigrants who lack legal status.\u003c/p>\n\u003caside class=\"pullquote alignleft\">It’s not clear how much the new coverage would cost or how the state would fund it.\u003c/aside>\n\u003cp>Sen. Ricardo Lara, a Democrat who represents Long Beach and southeast Los Angeles, announced the proposed legislation at a press conference Friday. He said immigrants contribute to the California economy and deserve to have access to health insurance.\u003c!--more-->\u003c/p>\n\u003cp>“While we’ve made enormous strides to reduce California’s uninsured population with the implementation of the Affordable Care Act, we won’t have a truly healthy state until everyone has access to quality, affordable coverage,” he said in a statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>An estimated 2.3 to 2.6 million immigrants live in California illegally –- more than in any other state. About 1 million are believed to be uninsured, while many of the others purchase their own policies or are covered through employer plans.\u003c/p>\n\u003cp>Currently, those who are uninsured can receive medical care at community and free clinics and in some counties, through public hospitals and health facilities.\u003c/p>\n\u003cp>Ira Mehlman, spokesman for the Federation for American Immigration Reform, a group that opposes illegal immigration, said the proposed legislation is clearly an end-run around what Congress intended under the health law. But Mehlman said the effort didn’t surprise him: The proposal comes just months after the California legislature approved special driver’s licenses for those living here without legal permission.\u003c/p>\n\u003cp>“There isn’t anything [the California legislature] is not going to give people who are in the country illegally,” he said.\u003c/p>\n\u003cp>Most of the state’s Medi-Cal recipients receive services paid for by a combination of federal and state funds. The new proposal would be paid for entirely by the state.\u003c/p>\n\u003cp>Diana Dooley, secretary of the state’s Health and Human Services Agency, has said that California health officials are aware of the need to cover immigrants who lack legal status. But she said the priority for now is covering people who are eligible for coverage under the Affordable Care Act.\u003c/p>\n\u003cp>It’s not clear how much the new coverage would cost or how the state would fund it. That would depend on how many people came forward. Fear of deportation often keeps people from seeking public services, advocates for immigrants’ rights said.\u003c/p>\n\u003cp>These advocates and other activists argue that the legislation would lower health care spending in California by enabling immigrants to receive regular check-ups, reducing their reliance on emergency rooms.\u003c/p>\n\u003cp>They also argue that it could help the state by bringing more families of mixed immigration status out of the shadows.\u003c/p>\n\u003cp>“Opening the door to all Californians means it’s more likely that those already eligible take advantage of the benefits, bringing more federal dollars into California,” said Anthony Wright, executive director of the consumer group Health Access California.\u003c/p>\n\u003cp>\u003cem>Kaiser Health News (KHN) is a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003c/em>\u003ca href=\"http://www.kff.org/\">\u003cstrong>\u003cem>Kaiser Family Foundation\u003c/em>\u003c/strong>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv>\u003c/div>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"OmrpQ79CAOg6jHOolJQ3xUHGfDKtvU9p\"]\u003c/p>\n\n","blocks":[],"excerpt":"In a push to cover immigrants excluded from the nation’s health reform law, a California state senator has proposed legislation that would offer health insurance for all Californians, including those living here illegally.","status":"publish","parent":0,"modified":1392771182,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":633},"headData":{"title":"New Bill Would Extend Health Coverage to Undocumented Immigrants | KQED","description":"In a push to cover immigrants excluded from the nation’s health reform law, a California state senator has proposed legislation that would offer health insurance for all Californians, including those living here illegally.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"17777 http://blogs.kqed.org/stateofhealth/?p=17777","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/02/18/new-bill-would-extend-health-coverage-to-undocumented-immigrants/","disqusTitle":"New Bill Would Extend Health Coverage to Undocumented Immigrants","path":"/stateofhealth/17777/new-bill-would-extend-health-coverage-to-undocumented-immigrants","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14038\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-e1375404453328.jpg\">\u003cimg class=\"size-large wp-image-14038\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/RS5161_78770400-scr-620x356.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"356\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Anna Gorman\u003c/strong>, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2014/02/california-bill-would-extend-health-coverage-to-all-residents/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>In a push to cover immigrants excluded from the nation’s health reform law, a California state senator has proposed legislation that would offer health insurance for all Californians, including those living here illegally.\u003c/p>\n\u003cp>The bill, \u003ca href=\"http://legiscan.com/CA/bill/SB1005/2013\" target=\"_blank\">SB 1005\u003c/a>, would extend state-funded Medi-Cal to low-income immigrants who, because they are in the country without permission, are now eligible only for emergency and pregnancy coverage. It would also create a marketplace similar to Covered California to offer insurance policies to higher income immigrants who lack legal status.\u003c/p>\n\u003caside class=\"pullquote alignleft\">It’s not clear how much the new coverage would cost or how the state would fund it.\u003c/aside>\n\u003cp>Sen. Ricardo Lara, a Democrat who represents Long Beach and southeast Los Angeles, announced the proposed legislation at a press conference Friday. He said immigrants contribute to the California economy and deserve to have access to health insurance.\u003c!--more-->\u003c/p>\n\u003cp>“While we’ve made enormous strides to reduce California’s uninsured population with the implementation of the Affordable Care Act, we won’t have a truly healthy state until everyone has access to quality, affordable coverage,” he said in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>An estimated 2.3 to 2.6 million immigrants live in California illegally –- more than in any other state. About 1 million are believed to be uninsured, while many of the others purchase their own policies or are covered through employer plans.\u003c/p>\n\u003cp>Currently, those who are uninsured can receive medical care at community and free clinics and in some counties, through public hospitals and health facilities.\u003c/p>\n\u003cp>Ira Mehlman, spokesman for the Federation for American Immigration Reform, a group that opposes illegal immigration, said the proposed legislation is clearly an end-run around what Congress intended under the health law. But Mehlman said the effort didn’t surprise him: The proposal comes just months after the California legislature approved special driver’s licenses for those living here without legal permission.\u003c/p>\n\u003cp>“There isn’t anything [the California legislature] is not going to give people who are in the country illegally,” he said.\u003c/p>\n\u003cp>Most of the state’s Medi-Cal recipients receive services paid for by a combination of federal and state funds. The new proposal would be paid for entirely by the state.\u003c/p>\n\u003cp>Diana Dooley, secretary of the state’s Health and Human Services Agency, has said that California health officials are aware of the need to cover immigrants who lack legal status. But she said the priority for now is covering people who are eligible for coverage under the Affordable Care Act.\u003c/p>\n\u003cp>It’s not clear how much the new coverage would cost or how the state would fund it. That would depend on how many people came forward. Fear of deportation often keeps people from seeking public services, advocates for immigrants’ rights said.\u003c/p>\n\u003cp>These advocates and other activists argue that the legislation would lower health care spending in California by enabling immigrants to receive regular check-ups, reducing their reliance on emergency rooms.\u003c/p>\n\u003cp>They also argue that it could help the state by bringing more families of mixed immigration status out of the shadows.\u003c/p>\n\u003cp>“Opening the door to all Californians means it’s more likely that those already eligible take advantage of the benefits, bringing more federal dollars into California,” said Anthony Wright, executive director of the consumer group Health Access California.\u003c/p>\n\u003cp>\u003cem>Kaiser Health News (KHN) is a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003c/em>\u003ca href=\"http://www.kff.org/\">\u003cstrong>\u003cem>Kaiser Family Foundation\u003c/em>\u003c/strong>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv>\u003c/div>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"OmrpQ79CAOg6jHOolJQ3xUHGfDKtvU9p\"]\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/17777/new-bill-would-extend-health-coverage-to-undocumented-immigrants","authors":["8344"],"categories":["stateofhealth_11","stateofhealth_14"],"tags":["stateofhealth_99","stateofhealth_489","stateofhealth_79"],"featImg":"stateofhealth_14038","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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